Fall Session ONE-TIME Covid Form
Please complete this ONE-TIME Covid Form for your swimmer to continue participating in their Mercury Swimming Fall Session. If you are 18 or older, you may complete this for yourself. If you are under 18, it must be completed by a parent/guardian.
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Email (Parent/guardian email if swimmer is under 18) *
Swimmer's First and Last Name *
Swimmer's Current Registration Status *
My swimmer will NOT attend a Mercury Swimming practice or swim meet if they experience any of the following symptoms: fever of 100 degrees and above, chills, cough, shortness of breath, trouble breathing, sore throat, fatigue, muscle or body aches, new loss of taste or smell, nausea, vomiting, diarrhea, headache, congestion or runny nose.
My swimmer will NOT attend a Mercury Swimming practice or swim meet if they have tested positive for COVID-19 or are currently placed in quarantine by the Department of Health as a result of being in contact with a person who has tested positive for COVID-19. (Please note that once a swimmer has been released from quarantine, they may return to practice.)
My swimmer will NOT attend a Mercury Swimming practice or swim meet if they have traveled outside the United States and require a travel quarantine.
By selecting "I Accept" using any device, means or action, you agree that your signature on this document (hereafter referred to as your "E-Signature") is as valid as if you signed the document in writing. *
Please type your E-Signature and today's date below to certify that you have read and agree to the conditions above.  (Parent/guardian if under 18.) *
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