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Health & Safety Survey
This survey MUST be completed before joining carpool or entering game play (which ever comes first)
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* Indicates required question
In the past 14 days: I HAVE been in the presence of anyone who has tested positive for COVID-19 for more than 15 minutes REGARDLESS OF social distancing or mask wearing.
*
Yes
No
In the past 10 days: I have HAD a POSITIVE COVID-19 test (rapid or antigen).
*
Yes
No
In the past 3 days (72 hours) I have HAD chills, body aches, chest pain, shortness of breath, diarrhea, or vomiting that I cannot explain by any other health condition I normally have.
*
Yes
No
Yes, but I have negative covid rapid test results taken in the last 12 hours.
In the past 24 hours I have HAD fever of 100.0 or greater.
*
Yes
No
I understand that social distancing and mask wearing requirements will be in effect during game play, and I am WILLING to abide by those rules.
*
Yes
No
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