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NCF Participant Contact Information for Covid-19 Contact Tracing

  1. Managers / Head Coaches are responsible for submitting the following form prior to attending practices or games at JCPRD facilities. Each participating player must be listed along with the two adults who will most likely attend in support of each player. Failure to submit this form by the deadline listed for your practice or league may result in the cancellation of practices or forfeit of games. Information provided here will be released only to County or State agencies upon request in response to possible Covid-19 exposure.
  2. JCPRD Form Center Header
  3. TEAM INFORMATION & MAIN CONTACT
  4. Team Sport*
  5. For practices, please list the name of the renter who booked and paid for your practice.
  6. For practices, please list the name of the renter who booked and paid for your practice.
  7. For practices, please list the name of the renter who booked and paid for your practice.
  8. Is the person completing this form the Manger / Head Coach / Renter listed above?
  9. Electronic Signature Agreement*
    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.
  10. I attest that the information below is accurate to the best of my knowledge and I have received permission to share this information with JCPRD with the understanding that it may be released to County or State health agencies upon request in response to possible Covid-19 exposure.
  11. PLAYER 1
  12. PLAYER 2
  13. PLAYER 3
  14. PLAYER 4
  15. PLAYER 5
  16. PLAYER 6
  17. PLAYER 7
  18. PLAYER 8
  19. PLAYER 9
  20. PLAYER 10
  21. PLAYER 11
  22. PLAYER 12
  23. PLAYER 13
  24. PLAYER 14
  25. PLAYER 15
  26. Leave This Blank:

  27. This field is not part of the form submission.