SSC Fall Face Off Health Screening

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This step is mandated by the Department of Health. If you answer YES to any of these questions, you cannot enter the facility for 14 days.

Last Name *

First Name *

Team *

SSC

TVSC

HYB

EHY

WISC

Other:

Have you tested positive for COVID-19 through a diagnostic test in the past 14 days? *

Yes

Have you knowingly been in close contact in the past 14 days with anyone who has tested positive forCOVID-19 or who has or had symptoms of COVID-19? *

Yes

Have you experienced any symptoms of COVID-19 in the past 14 days? *

Yes

Have you traveled within a state with significant community spread* of COVID-19 for longer than 24 hours within the past 14 days? *

Yes

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