UPDATED Team Health Assessment

Gymnasts name
Please list all gymnasts' name on one form.
Have you or anyone in the family developed ANY of the following symptoms of COVID-19 infection in the last ten (10) days? Fever or chills, Shortness of breath, Muscle or body aches, Unusual headache, New loss of taste or smell, Nausea or vomiting, Congestion or runny nose , Difficulty breathing, Fatigue, Cough , Sore throat, Diarrhea?
Has camper or anyone in household had a positive test for COVID-19 infection within the past ten (10) days or waiting on results?
Within the last ten (10) days, have you been within six (6) feet for longer than 15 minutes with someone who has a suspected or confirmed COVID-19 infection, WITHOUT taking proper precautions during this contact period including wearing a mask over your mouth and nose, keeping your hands away from your face, and frequently washing your hands.
Has anyone in your family been to a hotspot location or hotspot state in the past 10 days? If so what precautions did you take?
I understand that if the answer to any of the above questions is YES, my gymnast must be kept at home and the Harford Gymnastics Administration staff must be contacted.
I understand that if any of these answers CHANGE I must immediately notify the Harford Gymnastics Administrative Staff and must keep my gymnast at home.
I understand that if anyone in my household or my gymnast is showing any signs of COVID I must keep my Gymnast at home.
I understand that if I am awaiting COVID results from someone in my household or for the gymnast I must keep my gymnast at home.
I understand that if I am awaiting COVID results from someone my gymnast has been in direct contact with (within 6 ft), I must keep my gymnast at home.

Status message

  • PLEASE BE SURE that your child is washing their hands thoroughly prior to leaving your house as well as when they return. 
  • PLEASE BE SURE your gymnast is wearing a MASK during Carpooling since they can not maintain 6 ft physical distancing in the car.
  • PLEASE BE SURE that your child has all the listed personal items in their gym bag each day they come to practice. (yoga mat, band aids, hair ties, tape and underwrap if they use it, chalk, therabands, and hand sanitizer)  If you need to replenish their items, you can do so at our online store and we will have it for them here at the gym.
  • Thank you for doing your part to help mitigate the spread of germs. 

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Parents name

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