Portland Hunters Covid Screening Form
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Please provide your name - First AND Last *
Date of Training Session *
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Please provide a response on the following statement: *
• In the last 14 days, I have not tested positive or been diagnosed with COVID-19.• I have not come into close contact with anyone who tested positive or was diagnosed with COVID-19 in the last 14 days.• I do not have and have not had in the last 24 hours symptoms of COVID-19 such as fever, cough, shortness of breath, sore throat, nausea, vomiting, diarrhea, tiredness, chills, headaches, body aches, confusion, or loss of taste/smell.• I have not traveled to an area with significant community spread of COVID-19 for longer than 24 hours in the last 14 days.
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