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Tour of Anchorage COVID Assessment
Please complete the form before Bib Pick Up or your volunteer shift.
In case of transmission, we will be reaching out to all those who complete the log.
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* Indicates required question
First & Last Name:
*
Your answer
Racer or Volunteer?
*
Choose
Racer
Volunteer
Bib Picker Upper (friend/family just picking up a bib)
Phone Number:
*
Your answer
Email Address:
*
Your answer
COVID Screening for Skiers:
Is your Body Temperature over 100.4 or have you had a fever in the last 72hrs?
*
Yes
No
Are you experiencing an unusual cough?
*
Yes
No
Are you experiencing an unusual sore throat?
*
Yes
No
Are you experiencing unusual shortness of breath?
*
Yes
No
Do you have any of the following symptoms that are new or unexplained (Chills, Diarrhea, Abdominal Pain, Vomiting, Fatigue, Joint Pain, Muscle Aches, New Rash, Loss of Smell or Taste, Headache, NEW congestion, NEW runny nose)?
*
Yes
No
Have you tested positive or had close contact with someone with COVID-19 in the last 14 days?
*
Yes
No
Have you traveled outside of Alaska in the last 14 days? (If so, you must have followed State of Alaska Travel Guidelines)
*
Yes
No
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