Green Mountain Bike Club (GMBC) COVID-19 Contact Tracing and Ride Registration Form for April Saturday VP rides
If you feel sick on the day of the event, or cannot respond truthfully to all questions below, please do NOT participate in the day's ride.
The State of Vermont currently requires that all event organizers collect and maintain participant information for each individual and each event. This information includes collecting data on potential exposure to Covid-19. Information must be held for 30 days after each event.
As per Vermont State, anyone returning to or traveling to Vermont must adhere to the mandatory travel guidelines and either complete a 14-day quarantine or a 7-day quarantine followed by a negative Covid-19 test before participating in any event. If you received your final COVID-19 vaccination more than 2 weeks ago, you are not required to quarantine. If you have not followed the above guidelines, please close the survey and do not attend GMBC events until you complete your quarantine or vaccination protocol.
Rides must adhere to an “arrive, play and leave” mentality. Groups may not gather before or after activities (no tailgating, etc.). Come to the ride properly equipped including pump (or CO2 cartridge), tire levers, spare inner tube, drinks and snacks.
To reduce close in-person contact, this form also requests emergency contact information that was previously collected using sign-up sheets at the ride start.
Your Phone: mobile preferred, otherwise best contact phone (xxx-xxx-xxxx)
Which VP ride are you signing up for today? (Rides are usually on Saturday, but weather may move to Sunday)
Saturday, April 10/alternate Sunday April 11
Saturday, April 17/alternate Sunday April 18
Saturday, April 24/alternate Sunday April 25
Emergency contact phone number (xxx-xxx-xxxx)
By answering "yes" to this question I agree to follow Vermont State guidelines regarding mask wearing and social distancing. Specifically, I agree to wear a double thickness mask over mouth and nose at all times (except during vigorous outdoor exercise) and to maintain at least six feet distant from all other persons.
By answering "yes" to this question, I attest that I am in compliance with Vermont's current travel and quarantine policies as stated above.
Send me a copy of my responses.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service