Hurricanes Daily Health Screening Form
Please answer our daily screening questions so we can ensure the health and safety of our athletes and staff. Thank you!
Email address *
Athlete's Name *
Today or in the last 24 hours, has the swimmer or any household members had any of the following symptoms? *
In the past 14 days, has the swimmer had close contact with a person known to be infected with COVID-19? * *
COVID-19 Travel Order - Has the swimmer traveled outside of Massachusetts to any high-risk areas? (Does not include New York, New Jersey, Connecticut, Maine, Rhode Island, Vermont, New Hampshire and Hawaii) *
The information provided above is fully accurate *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy