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!
Today or in the last 24 hours, has the swimmer or any household members had any of the following symptoms?
Fever (100.0º or above), felt feverish, or had chills
Gastrointestinal problems (diarrhea, nausea, vomiting)?
New muscle aches
Any other signs of illness
None of the Above
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
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