2021 NMYAFL COVID-19 Participant and Coach Screening and Tracking

NMYAFL COVID-19 Particapant and Coach Screening and Tracking
The All Together New Mexico and New Mexico Activities Association Participation Guidelines require that each coach perform a screening of all participants and coaches before each practice or game.
Submission Date*
Practice / Game Date*
Is todays screening for a Football Team or Cheer Squad?*

Football TeamCheer Squad
Coach/Team Manager First Name*
Coach/Team Manager Last Name*
Coach/Team Manager Email*
example@example.com
Coach/Team Manager Cell Phone *

Area CodePhone Number
Team District/Name*
Team Division/Age Group*
Did you screen all Participants and Coaches at todays practice or game for the following symtoms: Fever, Cough, Shortness of Breath, Sore Throat, Close Contact with a someone who has COVID-19?*

YesNo
Did you take the temperature of all Participants and Coaches at todays practice or game?*

YesNo
Was there a positive answer to anyone who was screened or did anyone have a temperature of 100.3 or greater?*

YesNo
- Is your Athlete a Football Player or Cheerleader?
- Athletes First Name
- Athletes Last Name
- Athletes Date of Birth
- Parent First Name
- Parent Last Name
- Parent or Guardian Cellphone Number
  
  Area CodePhone Number
- Parent or Guardian Email Address
  example@example.com
- Brief Description of Symptoms or Exposure
- Do you have any additional positive results to report from todays screening?
  
  YesNo
- Is your 2nd Athlete a Football Player or Cheerleader?
- 2nd Athletes First Name
- 2nd Athletes Last Name
- 2nd Athletes Date of Birth
- 2nd Parent First Name
- 2nd Parent Last Name
- 2nd Parent or Guardian Cellphone Number
  
  Area CodePhone Number
- 2nd Parent or Guardian Email Address
  example@example.com
- 2nd Brief Description of Symptoms or Exposure
- Do you have any additional positive results to report from todays screening?
  
  YesNo
- Is your 3rd Athlete a Football Player or Cheerleader?
- 3rd Athletes First Name
- 3rd Athletes Last Name
- 3rd Athletes Date of Birth
- 3rd Parent First Name
- 3rd Parent Last Name
- 3rd Parent or Guardian Cellphone Number
  
  Area CodePhone Number
- 3rd Parent or Guardian Email Address
  example@example.com
- 3rd Brief Description of Symptoms or Exposure
- Do you have any additional positive results to report from todays screening?
  
  YesNo
- Is your 4th Athlete a Football Player or Cheerleader?
- 4th Athletes First Name
- 4th Athletes Last Name
- 4th Athletes Date of Birth
- 4th Parent First Name
- 4th Parent Last Name
- 4th Parent or Guardian Cellphone Number
  
  Area CodePhone Number
- 4th Parent or Guardian Email Address
  example@example.com
- 4th Brief Description of Symptoms or Exposure
- Lets all do our part to ensure that we keep our kids, coaches and families safe. If we all pull together to keep our COVID num bers trending down we can make sure that our kids enjoy the entire spring season in a safe environment.
- NMYAFL COVID-19 Particapant and Coach Screening and Tracking Acknowledgment*
- Coach / Team Manager Signature*
  
  Clear
- Should be Empty:

NMYAFL COVID-19 Particapant and Coach Screening and Tracking