Please read each question carefully. No health information or questionnaire answers will be shared with anyone outside of your organization

Health Declaration

Please fill out the following health declaration form in order to receive services. Submissions are valid up to 24 hours prior to the activity.
Are you experiencing any flu symptoms?
Are you currently awaiting results from a COVID-19 test?
Have you tested positive for COVID-19 in the past 10 days?

Thanks for submitting!