Covid 19 Gym Entrance Form

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Please fill out this form before having your athlete entering the gym.

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Athlete Name? *

Your answer

Have you had COVID-19 symptoms in past 14 days? Fever or chills, Cough, Shortness of breath or difficulty breathing, Fatigue, Muscle or body aches, Headache, New loss of taste or smell, Sore throat, Congestion or runny nose, Nausea or vomiting, Diarrhea *

Yes

No

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