Spring Fest Certification of No COVID-19 Symptoms
To be filled out each day, on the day of sailing.
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Today's Date *
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Skipper's Last Name
I am not experiencing any symptom of illness such as cough, shortness of breath or difficulty breathing, fever, chills, repeated shaking with chills, muscle pain, headache, sore throat, or new loss of taste or smell. *
I have not traveled internationally within the last 18 days *
I have not traveled to an area that is highly impacted with COVID-19, within the United States of America, in the last 18 days. *
I do not believe I have been exposed to someone with a suspected and/or confirmed case of the COVID-19. *
I have not been diagnosed with COVID-19 and not yet cleared as non-contagious by state or local public health authorities. *
In the event that I or any of my family develop any COVID-19 symptoms within 18 days of visiting the Club’s facilities, I will immediately contact the Club’s On-Duty COVID-19 Officer, to advise him. I acknowledge that he will notify other Club members at the same time so that they can determine if they or members of their immediate household may have been exposed to COVID-19. My name or the name of any of my family members will remain confidential in those contacts. *
Your First and Last Name *
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