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COVID-19 Prescreen
If you plan to not come into the lodge to check in, please email us ahead of time at
info@adaptivesportspartners.org
so we are aware and can arrange a meeting location.
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* Indicates required question
Email
*
Your email
Name- (full first name and first initial of last name)
*
Your answer
If you are accompanying a participant, please name the participant you are accompanying.
Your answer
What Program are coming for?
*
Alpine Ski and Ride
Winter Hiking
Nordic Skiing
Are you currently experiencing any of the following symptoms?
*
Fever, New or worsening cough, Shortness of breath, Lost sense of taste or smell, Nausea, vomiting, diarrhea, Sore throat, Other cold or flu like symptoms
Yes
No
Are you currently waiting for COVID-19 test results, or have you tested positive for COVID-19 in the last 30 days?
*
Yes
No
In the last 14 days, have you been in contact with anyone who has tested positive for Covid-19, are waiting for covid-19 test results, or exhibited any cold or flu like symptoms, such as fever or cough?
*
Yes
No
Is anyone in your household currently quarantining or isolating per CDC or Department of Public Health Guidelines?
*
Yes
No
Have you traveled outside of New England in the past 14 days?
*
New England includes: New Hampshire, Massachusetts, Vermont, Maine, Rhode Island and Connecticut.
Yes
No
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