Fall COVID-19 Prescreen
Please meet ASPNC at the venue and check in with the VL when you arrive.
Email *
Name- (full first name and first initial of last name) *
If you are accompanying a participant, please name the participant you are accompanying.
What Program are coming for? *
Required
Are you currently experiencing any of the following symptoms? *
Fever, New or worsening cough, Shortness of breath, Lost sense of taste or smell, Nausea, vomiting, diarrhea, Sore throat, Other cold or flu like symptoms
Are you currently waiting for COVID-19 test results, or have you tested positive for COVID-19 in the last 30 days? *
In the last 10 days, have you been in contact with anyone who has tested positive for Covid-19, are waiting for covid-19 test results, or exhibited any cold or flu like symptoms, such as fever or cough? *
Is anyone in your household currently quarantining or isolating per CDC or Department of Public Health Guidelines? *
By typing your name below, you agree that the above information is true. *
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