CAA Alumni Chapter Event

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In light of the ongoing spread of COVID-19, individuals who fall within any of the categories below should not engage in the Cal Alumni Association Alumni Chapter event.

By attending a Cal Alumni Association Alumni Chapter event, you certify that you do not fall into any of the following categories:
1. Individuals who currently or within the past fourteen (14) days have experienced any symptoms associated with COVID-19, which include fever, cough, and shortness of breath among others

2. Individuals who have traveled at any point in the past fourteen (14) days either internationally or to a community in the U.S. that has experienced or are experiencing sustained community spread of COVID-19

3. Individuals who believe that they may have been exposed to a confirmed or suspected case of COVID-19 or have been diagnosed with COVID-19 and are not yet cleared as non-contagious by state or local public health authorities or the health care team responsible for their treatment.

DUTY TO SELF-MONITOR: Participants and volunteers agree to self-monitor for signs and symptoms of COVID-19 (symptoms typically include fever, cough, and shortness of breath) and, contact the chapter president of the CAA Alumni Chapter hosting the event, if he/she experiences symptoms of COVID-19 within 14 days after participating or volunteering with Cal Alumni Association events.

Email *

Please name the chapter that is hosting the event *

Full Name *

Please select which symptoms, if any, apply to you. *

Fever

Muscle pains or aches (not due to exercise)

Cough (worse than usual if you have a daily cough)

Shortness of breath or trouble breathing

Headache (worse than usual if you have headaches)

Scratchy or painful sore throat

New Loss or taste and smell

Nausea/vomiting/diarrhea/stomach cramps

Dizziness and lightheadedness

Sneezing, runny nose, or congestion (worse than usual if this is common for you)

Fatigue that is unusual or more sever than normal

A member of you household has a confirmed COVID-19 infection or you have been in close contact with someone who had a confirmed COVID-19 infection

NO I DO NOT HAVE ANY OF THESE SYMPTOMS

Required

The above answers are an accurate representation of your symptoms and/or conditions *

Yes, I attest that this is an accurate representation of my symptoms and/or conditions

Required

A copy of your responses will be emailed to the address you provided.

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