Sum Ste Gen-Zepp

If you are a Player, Coach, Covid Dugout Manager, or Umpire, then this form must be completed prior to each practice or game.  Your responses are emailed to the email address that you supply with the form.  For team members and their volunteers, the returned email can be used to confirm you have enrolled.  This information is available to the Parish/Program Athletic Association, to the District, and to the CYC.  Its typical use would be for contact tracing.

There are two screening questions.  Your response of No is affirmed in the check box.  You cannot participate unless the response to both questions is NO.

1.  Today or in the past 24 hours have you had any of the following symptoms:

* Fever (temperatures greater than 100.4 for children and greater than 100 for individuals over the age of 18)
* New or worsening cough
* Shortness of breath or trouble breathing
* Sore throat that is different from your seasonal allergies
* New loss of smell or taste, or both
* Diarrhea or vomiting
* Abdominal pain

2.  Has the participant listed below, a household member, or close contact tested positive for COVID-19, received inconclusive test results, is awaiting test results, or had significant exposure to a positive COVID-19 individual?  (Close contact is defined as prolonged exposure of greater than 15 minutes within 6 feet without a mask.)

I understand by submitting this form, I am confirming that all provided information is accurate today and I have taken the individual's temperature before the game/practice.

If you answer Yes to either of the two preceding screening questions, then you are not permitted to attend any CYC game, practice, or event as a player, coach, volunteer, or spectator.

Parents are required to notify their Athletic Association if a player, coach, Covid Dugout Manager, or umpire has a positive diagnosis of Covid-19.  The Athletic Association must notify the District Coordinator and the CYC Office.

 

 

This form is no longer available.