Weekly Testing Submission Form
AYSO Region 88 Glendale / Per L.A. County Public Health Order 08/30/2021
Submitting a negative COVID-19 test for a:
*
Player
Volunteer
Parent or Guardian Name
*
First Name
Last Name
Volunteer's Name
*
First Name
Last Name
Primary Email
*
example@example.com
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Player Information
Please submit a separate form for each player
Player's Name
*
First Name
Last Name
Date of Birth
*
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Month
-
Day
Year
Date
Division / Head Coach (last name)
example: 14UB / Davis
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Testing
Testing date and negative test results
Testing date
*
-
Month
-
Day
Year
Date
Weekly test result
*
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Please upload a file and/or a screenshot of negative test
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