Parent Commitment COVID-19 Form/ Summer 2020
La Jolla Fencing Academy
Participant Name:__________________________________________________________
Parent Name:_____________________________________________________________
Address:_________________________________________________________________
Phone Number: ____________________________E-mail:__________________________
By completing this form and participating in the program, you must confirm that you and your child will abide
by the most current guidelines of the County of San Diego Public Health Order. The Following guidelines are
based on the San Diego Youth Sports Physical Distancing and Safety Plan for Practices and Drills and may
change during the season. Please be aware that our ability to continue to practice at La Jolla Fencing Academy
depends on your compliance with all these requirements.
1. You attest that you and your child have reviewed the new club safety rules that identifies ways to
prevent the Spread of COVID-19.
2. You understand that our use of the LJFA facility is limited to practice and drills.
3. You understand that practices will be organized in stable groups of 12 participants maximum. There
will be no interaction (i.e. scrimmaging) between different stable groups. Per the County protocols your
child must remain in their assigned stable group throughout the program.
4. You attest that you will not send your child to practice if their temperature is above 100° F or if they
have COVID-19 symptoms based on CDC guidelines. https://www.cdc.gov/coronavirus/2019-
ncov/symptoms-testing/symptoms.html
5. You attest that if your child has displayed COVID-19 symptoms, you will not allow them to return to
practice until they have tested negative for COVID-19 and provide a medical professional’s clearance;
or at least 10 days have passed since the onset of symptoms, and at least 3 days (72 hours) have
passed since recovery (no fever without the use of fever reducing medication).
6. You are encouraged to drop off your child at the beginning of practice and return at the end of practice
to pick them up. If you stay inside the atrium, you must practice social distancing from other parents.
7. Participants that are not from the same household may not carpool to and from practice. You attest
that you and your child will refrain from unnecessary physical contact with others, including hugs, high
fives, fist and elbow pumps which are not permitted per the County protocols.
8. You and your child will sanitize your hands at the beginning, middle and end of practice. The team will
provide sanitation stations, but request that each athlete bring their own bottle of hand sanitizer.
9. Equipment bags must be kept within the designated area and each bag must be 6 feet from each
other.
10. Participants must bring enough water as drinking fountains will not be available.
Parent Signature:___________________________________________ Date:_____________________
Participant Signature:________________________________________ Date:_____________________
