Backcountry Tours COVID Assessment
1. Skiers are required to RSVP online:

2. Complete this COVID Assessment 48hrs prior to the start of the tour.

In case of transmission, we will be reaching out to all those who complete the log.

Thank you and Happy Trails!
Skier First & Last Name: *
Contact Phone Number: *
Email Address: *
Tour Attending: *
COVID Screening for Skiers:
Is your body temperature over 100.4? *
Have you had a fever in the last 72hrs? *
Do you have a persistent cough? *
Do you have a sore throat? *
Are you experiencing unusual shortness of breath? *
Have you had close contact with someone with COVID-19 in the last 14 days? *
Have you traveled outside of Alaska in the last 14 days? *
Do you have any of the following symptoms that are new or unexplained (Chills, Diarrhea, Abdominal Pain, Vomiting, Fatigue, Joint Pain, Muscle Aches, New Rash, Loss of Smell or Taste, Headache, NEW congestion, NEW runny nose)? *
Never submit passwords through Google Forms.
This form was created inside of Nordic Skiing Association of Anchorage. Report Abuse