Baltimore Celtic COVID Game Day Screening 2021/2022 edited 12/29/2021
Baltimore Celtic is continues to follow specific guidelines and steps to reduce the risk of infection among players and staff in accordance with national and local restrictions, as well as the recommendations outlined by the CDC (Centers for Disease Control)

As a member of a youth soccer club community, I must answer the following screening questions prior to attending any Game Day sanctioned event that Baltimore Celtic is a participant.
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Email *
Player Name (Last, First) *
Parent Name (Last, First) *
Primary Contact Number *
Program *
Age Group *
Baltimore Celtic Team Name (Opponent should type in their full Club and Team Name) *
Instructions:
All screening questions must be answered 24 hours prior to any Baltimore Celtic Game Day event, if you experience an issue with reporting, please contact your coaching staff for instructions.  

Any participant answering Yes, to any of the below screening questions must contact their coaching staff immediately and NOT report to any Baltimore Celtic game day related event.

* Information reported through this link is confidential and is not shared with any other members of the Club and will only be used in the event Contract Tracing is warranted.
Has this person had a POSITIVE COVID-19 (coronavirus) test within the last 14-20 days? *
Has this person recently started experiencing any of these symptoms: Loss of smell or taste, Fevers/chills, Cough (new or worsening), Muscle Aches or significant fatigue, Shortness of Breath or difficulty breathing (new or worsening), Sore Throat, Runny Nose or congestion, Headache, Diarrhea or vomiting, Exposure to a person diagnosed w/ COVID-19 in the past 14 days *
Does this person live with someone who was diagnosed with COVID-19 (coronavirus) within the last 14 days? *
Has this person been advised to obtain COVID-19 testing for any symptoms that are still present? *
Is this person waiting for a result of a COVID-19 test for symptoms that are still present? *
Are you currently waiting on the results of a COVID-19 test? *
Our family commits to following ALL Expanded Masking guidelines set by any facility while attending a Baltimore Celtic  game day event. *
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