Girls' Golf COVID Attestation

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This form must be completed daily by each athlete. Athletes who fail to complete this form will not be permitted to participate in practice or competition that day.

Student ID number *

First Name *

Last Name *

To be on-site in an Everett Public Schools facility today, I attest that: 1) I am COVID-19 symptom free*, 2) I have not been in close proximity of a COVID positive person in the past 14 days, 3) I have NOT tested positive for COVID in the past 10 days, 4) I have NOT been required to quarantine in the past 14 days, 5) I WILL wear an appropriate facial covering at all times, and 6) I WILL maintain social distancing of 6 feet or more whenever possible. If you answer 'TRUE', you may participate. If you answer 'FALSE', you must stay home. *

*COVID symptoms include: Cough · Shortness of breath or difficulty breathing · Fever · Chills · Repeated shaking with chills · Muscle pain · Headache · Sore throat · New loss of taste or smell · Congestion or runny nose ((not allergy related) · Nausea or vomiting · Diarrhea

True

False

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