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COVID-19 Health and Safety Policy Acknowledgement for the Seven Rivers Regional




As a FIRST® parent/spectator attending the Seven Rivers Regional with an FRC team as stated below, I agree to abide by the following COVID-19 Health and Safety Policy for the Wisconsin Regional:

  • Masks Required
  • Health Screening Required Prior to Entering Venue
  •  Contact Information Gathered for Contact Tracing
  • Social Distancing Required
  •  Open Seating
  • Open Attendance

In consideration of and as a condition of allowing the FIRST parent/spectator in the Wisconsin Region, the Seven Rivers Regional Planning Committee is requiring that the FIRST parent/spectator agree to abide by the “COVID-19 Health and Safety Policy.” The FIRST parent/spectator understands and voluntarily executes this agreement.

1. I agree to observe and obey all rules and warnings regarding COVID-19 and further agree to follow any oral instructions or directions given by the leadership of the Seven Rivers Regional

2. I agree to follow all local, state, and federal policies, procedures, protocols, and guidance with regard to COVID-19.

3. I agree to communicate the requirements of the “COVID-19 Health and Safety Policy” to my team.


By signing below, I acknowledge I that I have read, understand, agree to comply with, and will communicate the requirements of the “COVID-19 Health and Safety Policy” as set forth above. 



First Participant's Name
First Name*
Last Name*
Phone*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
First Participant's Team Number and Statement of Understanding
Team Number of FRC Team you are attending event with. If you are not with a team, please type in 0000 *
Due to the potential transmission of COVID-19 at this event, contact information will be gathered with the intent of providing that information to local health authorities for contact tracing purposes in the case of a positive test. Outside of contact tracing, contact information will not be used. *
I understand and accept that my contact information will only be used in the case that contact tracing needs to be conducted.
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Team Number and Statement of Understanding
Team Number of FRC Team you are attending event with. If you are not with a team, please type in 0000 *
Due to the potential transmission of COVID-19 at this event, contact information will be gathered with the intent of providing that information to local health authorities for contact tracing purposes in the case of a positive test. Outside of contact tracing, contact information will not be used. *
I understand and accept that my contact information will only be used in the case that contact tracing needs to be conducted.
Third Participant's Name
First Name*
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Team Number and Statement of Understanding
Team Number of FRC Team you are attending event with. If you are not with a team, please type in 0000 *
Due to the potential transmission of COVID-19 at this event, contact information will be gathered with the intent of providing that information to local health authorities for contact tracing purposes in the case of a positive test. Outside of contact tracing, contact information will not be used. *
I understand and accept that my contact information will only be used in the case that contact tracing needs to be conducted.
Fourth Participant's Name
First Name*
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Team Number and Statement of Understanding
Team Number of FRC Team you are attending event with. If you are not with a team, please type in 0000 *
Due to the potential transmission of COVID-19 at this event, contact information will be gathered with the intent of providing that information to local health authorities for contact tracing purposes in the case of a positive test. Outside of contact tracing, contact information will not be used. *
I understand and accept that my contact information will only be used in the case that contact tracing needs to be conducted.
Fifth Participant's Name
First Name*
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Team Number and Statement of Understanding
Team Number of FRC Team you are attending event with. If you are not with a team, please type in 0000 *
Due to the potential transmission of COVID-19 at this event, contact information will be gathered with the intent of providing that information to local health authorities for contact tracing purposes in the case of a positive test. Outside of contact tracing, contact information will not be used. *
I understand and accept that my contact information will only be used in the case that contact tracing needs to be conducted.
Sixth Participant's Name
First Name*
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Team Number and Statement of Understanding
Team Number of FRC Team you are attending event with. If you are not with a team, please type in 0000 *
Due to the potential transmission of COVID-19 at this event, contact information will be gathered with the intent of providing that information to local health authorities for contact tracing purposes in the case of a positive test. Outside of contact tracing, contact information will not be used. *
I understand and accept that my contact information will only be used in the case that contact tracing needs to be conducted.
Seventh Participant's Name
First Name*
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Team Number and Statement of Understanding
Team Number of FRC Team you are attending event with. If you are not with a team, please type in 0000 *
Due to the potential transmission of COVID-19 at this event, contact information will be gathered with the intent of providing that information to local health authorities for contact tracing purposes in the case of a positive test. Outside of contact tracing, contact information will not be used. *
I understand and accept that my contact information will only be used in the case that contact tracing needs to be conducted.
Eighth Participant's Name
First Name*
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Team Number and Statement of Understanding
Team Number of FRC Team you are attending event with. If you are not with a team, please type in 0000 *
Due to the potential transmission of COVID-19 at this event, contact information will be gathered with the intent of providing that information to local health authorities for contact tracing purposes in the case of a positive test. Outside of contact tracing, contact information will not be used. *
I understand and accept that my contact information will only be used in the case that contact tracing needs to be conducted.
Ninth Participant's Name
First Name*
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Team Number and Statement of Understanding
Team Number of FRC Team you are attending event with. If you are not with a team, please type in 0000 *
Due to the potential transmission of COVID-19 at this event, contact information will be gathered with the intent of providing that information to local health authorities for contact tracing purposes in the case of a positive test. Outside of contact tracing, contact information will not be used. *
I understand and accept that my contact information will only be used in the case that contact tracing needs to be conducted.
Tenth Participant's Name
First Name*
Last Name*
Phone*
Participant's Date of Birth*
Date of Birth
Team Number and Statement of Understanding
Team Number of FRC Team you are attending event with. If you are not with a team, please type in 0000 *
Due to the potential transmission of COVID-19 at this event, contact information will be gathered with the intent of providing that information to local health authorities for contact tracing purposes in the case of a positive test. Outside of contact tracing, contact information will not be used. *
I understand and accept that my contact information will only be used in the case that contact tracing needs to be conducted.
Parent or Guardian's Email Address
Email*
Confirm Email*
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the Parent or Court-Appointed Legal Guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name
First Name*
Last Name*
Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
Date of Birth
I certify that I am 18 years of age or older
Parent or Guardian's Team Number and Statement of Understanding
Team Number of FRC Team you are attending event with. If you are not with a team, please type in 0000 *
Due to the potential transmission of COVID-19 at this event, contact information will be gathered with the intent of providing that information to local health authorities for contact tracing purposes in the case of a positive test. Outside of contact tracing, contact information will not be used. *
I understand and accept that my contact information will only be used in the case that contact tracing needs to be conducted.
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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