POSITIVE COVID-19 CASE REPORT Question Title * 1. What type of organization is submitting this report? District Zone Club Community Team Soccer Facility Other (please specify) OK Question Title * 2. Please provide the name of the organization reporting OK Question Title * 3. If you are not a District, what District does your organization belong to? Sunny South District Soccer Association Medicine Hat Soccer Lethbridge Soccer Calgary Minor Soccer Calgary United Soccer Calgary Women's Soccer Central Alberta Soccer Big Country Soccer Foothills Soccer Association Edmonton & District Soccer Edmonton Minor Soccer Edmonton Interdistrict Soccer St. Albert Soccer Association Tri-County Soccer District Northwest Central Soccer Lakeland District Soccer Northwest Peace Soccer District Fort McMurray Soccer Battle River Soccer Association Sherwood Park District Soccer Airdrie Soccer Red Deer City Soccer Canal Links Soccer Federation Other, what town/city do you reside? OK Question Title * 4. We were made aware of the positive case in our organization by: Individual voluntarily reported Parent/guardian of individual Alberta Health Services OK Question Title * 5. The positive COVID-19 case was related to a Coach Player Team Manager Referee Spectator If an individual held multiple roles, please list here: OK Question Title * 6. The individual was participating in the following age group: Youth U4 - U11 Youth U13 - U19 Senior OK Question Title * 7. Date positive case reported to your organization (MM/DD/YYYY) OK Question Title * 8. How many individuals in your organization experienced a 14-day cohort break as a result of the positive COVID-19 test result? Please enter '0' if you do not know. OK DONE
