RACE COVID-19 Self-Check Form
Please fill this out for each swimmer every Sunday night.
Please Choose Your Practice Group
Do you have any signs or symptoms of possible COVID-19? Check all that apply
Cough (New or Worsening)
Shortness of breath or difficulty breathing (new or worsening)
Repeated shaking with chills
Loss of taste or smell
Feeling feverish or a measure temperature greater than or equal to 100.0 F
I have none of the above
Do you have close contact with a person who is lab confirmed to have COVID-19 or diagnosed by a doctor with COVID-19
Does someone in your household have signs or symptoms of possible COVID-19?
Remain home and do not come to work if you answered Yes to any question or have signs or symptoms of possible COVID-19.
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