Drowning Darryl's wellness check

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Please take the survey every day before practice before you enter the pool deck to keep everyone safe and healthy. Thank you for your cooperation. Let's swim fast!

Parent name *

Swimmer name *

What practice do you attend? *

1st practice (4:30- 5:45pm)

2nd practice (5:50-7:15pm)

Morning practice (8:00 -9:20am)

Today's Date *

YYYY

Have you, your child, or any individual in your household had a fever of 100°F (37.8 Celsius) or higher today or in the past 14 days? *

yes

Have you or your child or any individual in your household have symptoms of COVID-19, fever or chills, cough shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, the new loss of taste or smell, sore throat, congestion, or runny nose, nausea or vomiting, diarrhea in the past 14 days? *

yes

Have you, your child or any individual in your household had contact with someone with a confirmed diagnosis of COVID-19 or is under investigation for COVID-19 in the past 14 days? *

yes

Have you, your child, or any individual in your household traveled internationally or been exposed to anyone who has traveled internationally to an area with widespread sustained community transmission of COVID-19 in the past 14 days? *

yes

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