COVID 19 Waiver

COVID 19 Medical Questionnaire

Do you have any of the following symptoms: - Fever of 100.0 or more or chills - Cough - Shortness of breath or difficulty breathing - Fatigue - Muscle or body aches - Headache - New loss of taste or smell - Sore Throat - Congestiono or runny nose - Nausea or vomiting - Diarrhea
Have you tested positive for COVID-19 or have had any COVID-19 symptoms in the last 14 days?
Have you been in close contact with a confirmed or suspected COVID-19 case in the last 14 days?
Are you experiencing any of the symptoms or scenarios above?

Thanks for submitting!