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BVSC - COVID-19 Screening Questions
Please complete prior to your arrival.
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What is your last name?
*
Your answer
What is your first name?
*
Your answer
Are you or a family member participating at the club today experiencing any of these symptoms: fever of 100.4 or higher, dry cough, shortness of breath, or flu like symptoms?
*
Yes
No
Have you or a family member participating at the club today been in contact with some who is Covid-19 Positive in the last 14 days?
*
Yes
No
Have you or a family member participating at the club today traveled internationally or out of the state via public transportation (Plane, Bus, etc.) in the last 14 day?
*
Yes
No
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