SLAC COVID-19 Check-In Form
Please fill this out on the day you plan to come to SLAC, before each time you visit.
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Email *
Full name you used to sign up for lesson/open *
Reason for Visit *
Are you currently experiencing any of the following new or worsening signs or symptoms of possible COVID-19? *
Shortness of breath or difficulty breathing
Muscle pain
Sore throat
Loss of taste or smell
Feeling feverish or a measured temperature greater than or equal to 99.6°F
If you answer “yes” to any of these questions, you will not be allowed entry into SLAC today. We recommend self-quarantine at home for 5 days.
Self-quarantine at home and contact your primary care physician’s office or nearest urgent care facility for direction.

• You should isolate at home for a minimum of 5 days since symptoms first appear.
• You must have 1 day without fever (without the use of fever-reducing medications) and improvement in respiratory symptoms before you come to SLAC.

In the past 5 days, have you had close contact with an individual who has tested positive for COVID-19? *
If you answer “yes” to this question, you will not be allowed entry into SLAC today.
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