* Required

St. Francis Area Schools Community Education
3325 Bridge Street, St. Francis, Minnesota 55070
763-213-1589

COVID-19 Safety Plan for Facility Users Form

Organization Namerequired

Name of Person Completing COVD-19 Safety Planrequired

Total Number of Participantsrequired

How will you organization enforce social distancing guidelines?required

How will your organization organize and maintain pods for participants?required

One team/sport per field/rink/court at any time. Football/soccer field (approx. 57,600 sq. ft.) – no more than four pods of ≤ 10 or 2 pods of 25. Baseball field (40,000+ sq. ft.) – up to 25. Basketball/volleyball court (4,700 sq. ft.) – no more than one pod of ≤ 10.

How will your organization enforce stay-at-home when sick expectations?required

How will your organization promote participant hygiene throughout the event? required

How will your organization enforce health checks and screening for all participants? required

How will your organization enforce no-contact between participants?required

How will your organization ensure equipment is not shared between participants?required

How will your organization communicate to families that only registered participants will be allowed at the facility?required

How will your organization enforce that only participants will be allowed in the facility?required

How will your organization clean and disinfect equipment both during use and after? required

How will your organization communicate and enforce that participants need to bring their own beverages as water fountain use will not be allowed?required

I understand failure to adhere to either St. Francis Area Schools Facility Use guidelines or COVID-19 Safety Plan will result in immediate loss of facility use privileges.*

Yes No

The WAIVER/RELEASE FOR COMMUNICABLE DISEASES INCLUDING COVID-19 must also be filled out and submitted to Nancy Messerschmidt before any St. Francis Area Schools facilities can be used by an outside vendor. Find a link to the waiver/release on the COVID-19 Safety Plan for Facility Users page on this website.