Shen Valley XC League COVID Tracing (11/21/20)
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Email *
Registered Participant Last Name *
Registered Participant First Name *
Cell Phone Number *
City, State *
Have you experienced any of these symptoms in last 24-hours that are DIFFERENT from your normal health? Check all that apply. *
Required
Have you been tested for COVID-19 since Sunday, November 8th, 2020? *
If you have been tested for COVID-19 since Sunday, November 8th, 2020, was the result negative or positive? *
A copy of your responses will be emailed to the address you provided.
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