Waiver form for COVID-19

I acknowledge the contagious nature of the Coronavirus/COVID-19 and that the CDC and many other public health authorities still recommend practicing social distancing.

I don’t have the following symptoms in the past 14 days:

  • new or worsening cough
  • shortness of breath or difficulty breathing
  • temperature equal to or over 38°C
  • feeling feverish
  • chills
  • fatigue or weakness
  • muscle or body aches
  • new loss of smell or taste
  • headache
  • gastrointestinal symptoms (abdominal pain, diarrhea, vomiting)
  • feeling very unwell
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