CRCA COVID-19 Questionnaire

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In cooperation with federal, state, and local guidelines, we are required to ask these questions of our membership and our staff prior to each event. Please fill out this survey to the best of your ability. All responses are confidential.

Name *

E-Mail *

USAC License Number *

I am filling out this form in preparation for the race on date *

6/5/21

6/20/21

7/18/21

7/25/21

7/31/21

8/14/21

8/28/21

9/4/21

I understand that if I develop symptoms of COVID-19 or come in close contact with anyone exhibiting symptoms of COVID-19 that I must not attend any CRCA event *

Yes

I have received my COVID-19 vaccine *

In accordance with federal and state guidelines, vaccinated individuals are not required to wear masks while racing. We kindly ask that you still wear a mask when not at staging or racing out of courtesy to our staff and volunteers and other park users. Unvaccinated individuals are required to wear masks at all times.

Yes

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