Covid-19 Health Screening | Olympic Ski and Snow

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OLYMPIC SKI AND SNOWBOARD SCHOOL

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Covid-19 Health Declaration

How are you feeling today?

Student First and Last Name

Guardian Name (if applicable)

Student or Guardian Phone

Student or Guardian Email

Student body temperature is lower than 98.6°F/ 37.5°C

Student is not experiencing any Covid-19 or flu symptoms such as : fever, cough, difficulty breathing, fatigue, muscle aches, headache, new loss of taste/smell, sore throat, congestion, nausea or diarrhea

Student hasn't tested positive for Covid-19 or been in close contact with a Covid-19 patient in the last 14 days

Student or Guardian Initials

Date

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

OLYMPIC SKI AND SNOWBOARD SCHOOL

skibowlskischool@gmail.com

503.272.3206 x1131

Skibowl West
87000 US-26, Government Camp, OR 97028

©2020 by Olympic Ski and Snowboard School

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