JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Volunteer & Spectator Health Screening
This Screening tool must be filled out before entering FC Exeter facilities. Please provide all requested information for contact-tracing purposes.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First and Last Name of Participant
*
Your answer
Enter Today's Date
*
MM
/
DD
/
YYYY
Phone Number
*
For contact-tracing purposes in case of COVID-19 exposure.
Your answer
Participant Role
*
Volunteer
Spectator (Please notify the coach. Spectators may be limited at the discretion of the coach, designated volunteer or club officials)
At which field will you be participating?
Brentwood Rec
Cooperative Middle School
Exeter Rec
Stratham Hill Park
Stratham Memorial School
Stevens Park, Stratham
Other:
Clear selection
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
