Greater Boston NEMBA - COVID Self-Attestation
Prior to attending a GB NEMBA group ride or trail work event, please complete the following brief wellness survey.
Sign in to Google to save your progress. Learn more
Please select the event you are planning to attend:
Do you have any of the following new or progressive symptoms? Select all that apply.
If you have any of the symptoms above, please do not attend today's GB NEMBA hosted event.  If you do not have any of the symptoms listed above, we look forward to seeing you at the designated meet up location.  
Your name:
Your email address:
We will contact you via email in the event we need to conduct any post event contact tracing.  Thank you in advance for your volunteerism!
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of New England Mountain Bike Association. Report Abuse