EmailMeForm
Ohio South COVID-19 Positive Test Notification
This form should only be used to report a positive COVID-19 test for a player or coach by the league/club admin responsible for Covid compliance.
Please contact your Local County Health Department to verify the amount of time your team needs to quarantine.
Name of person submitting notification
*
Contact Email
*
Please indicate the Club associated with the COVID positive person
*
Name of your Club's Primary Point of Contact
*
Has your Club's Primary Point of Contact been notified?
*
Please select
Yes
No
Name of the team(s) that the individual with a positive result plays on/coaches.
*
Gender of team
*
Please select
Boys
Girls
Age group(s) the individual with a positive person play/coaches
*
The individual that tested positive is a
*
Please select
Player
Team Official/Coach
Referee
Other
Does the COVID positive person participate on other teams?
*
Please select
Yes
No
If yes, please provide the Club name and Team names.
What was the date of the first symptoms of the COVID positive person?
*
What date was the positive test result received/confirmed?
*