SSWSC Event COVID Pre-Screening Questionnaire
Per U.S. Ski & Snowboard requirements, all participants in U.S. Ski & Snowboard events must complete this form within 24-48 hours prior to the event, and will be required to complete a daily symptom check on the morning of each competition day. Participants include athletes, coaches, officials and volunteers.
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Participant first name: *
Participant last name: *
Name of parent/guardian completing this form if participant is a minor:
Contact information (enter email or phone number in case we need to reach you): *
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Participant is: *
Club:
Have you been exposed to someone who has tested positive for Covid-19, or displayed symptoms (e.g. cough, shortness of breath, fever, chills, muscle pain, headache, sore throat, new loss of taste or smell, vomiting, nausea, diarrhea) in the last 2 weeks? *
Have you tested positive for COVID-19 in the previous 14 days? *
Have you experienced any COVID-19 symptoms in the last 24 hours (e.g. cough, shortness of breath, fever, chills, muscle pain, headache, sore throat, new loss of taste or smell, vomiting, nausea, diarrhea, etc)? *
Athlete declaration
By clicking submit below, you verify that you will not attend the event if you are feeling sick (including any of the following: headache, sore throat, fever, dry cough, recent inability to taste and smell, shortness of breath, ear aches, body aches, diarrhea, fatigue, vomiting or abdominal pain). You understand that you must self-screen for COVID-19 symptoms each day of the competition, including taking your temperature. You will report any symptoms to your coach, team captain, or event COVID coordinator listed on event fact sheet. (If completing this form as a parent, you acknowledge that you will ensure that your child participant will adhere to the above requirements for this event.)
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