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Daily COVID Test Appt Request
This appointment will be daily, Wed - Sunday unless you indicate otherwise. Thanks
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* Indicates required question
Name on Badge
*
Your answer
Skate Name
Your answer
Cell #
*
Your answer
email
*
Your answer
Vax Status
*
Not Vaxxed
Double vaxxed
Double vaxxed and boosted
Other:
Tests
I'm bringing sealed tests of my own to the testing booth
I need to purchase tests at $15/per
I am a RollerCon manager or lead and I get free testing
Other:
Clear selection
Day(s)
*
Wed-Sun
Wed only
Thur only
Fri only
Sat only
Sun only
Other:
Required
Appointment request
*
9:45 am
10am
10:15 am
10:30 am
10:45 am
11am
noon
1pm
Other:
2nd choice
*
Please do not choose the same time as your first choice. This is in case your first choice is not available.
10am
9:45 am
10:15 am
10:30 am
10:45 am
11am
noon
1pm
Other:
Notes (optional)
Your answer
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