Covid Return Form
If you have come in contact with someone or have come down with Covid 19... Please fill out the following form before returning and submit proof of Covid Negative test.
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Name *
Email *
Please fill out the following!
Have you experienced the symptoms listed below in the last 72 hours?
Temperature greater than 100 degree Fahrenheit or alternating chills/shakes? *
New difficulty breathing? (that can not be resolved with a prescribed inhaler) *
New or worsening cough? *
New loss of smell, taste, or appetite? *
New muscle aches throughout your body? (Not workout related) *
New difficulty staying awake? *
New headache? *
New sore throat? *
New diarrhea? *
Did you or have you tested for Covid? *
If yes when? *
When did you come in contact with Covid? *
Did you come in contact with someone who had Covid... or are you Tested Positive for Covid?
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After coming in contact with someone with Covid have you had any symptoms? *
If Yes, What were your symptoms?
If Yes, How many days have you been symptom free?
How many days have you quarantined yourself? *
Is anyone in your home currently sick? *
What was the date you tested Negative for Covid before your return to the gym *
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