Fox Valley COVID-19 Symptom Checker
This form must be utilized prior to attending a training or competition event to ensure that you are free from COVID-19 symptoms and pose limited risk to others. (Update: 10/12/2021)
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Name
Are you currently diagnosed with or believe you may have COVID-19? *
Have you had any of these symptoms of COVID-19 in the past ten (10) days? High temperature (fever), new continuous cough, or a new unexplained shortness of breath? *
If you have been in contact with a COVID-19 confirmed or suspected case in the previous ten (10) days, do you meet CDC guidelines to return to rugby activities? These guidelines allow vacinated persons without symptoms to continue to participate. Unvaccinated persons may participate 7 days after a close contact provided they are symtom free and provide a negative PCR test taken at least 3-5 days after exposure. *
By checking the below box, I attest that all questions were answered honestly to the best of my ability. *
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