Name *

First Name

Last Name

Will you be fully vaccinated 2 weeks after your final shot by the date of your tour? *

Yes

No

If you are not fully vaccinated, have you had a recent covid-19 test? *

Yes

No

If so, what were the results?

Negative

Positive

If you are not vaccinated, are you willing to run in a mask? *

Yes

No

Have you been exposed to anyone who has tested positive to COVID-19 in the past 14 days? *

Yes

No

Have you had a fever over the past 24 hours? *

Yes

No

Do you have symptoms of lower respiratory illness such as cough, shortness of breath, difficulty breathing, or a sore throat? *

Yes

No

Have you experienced any recent loss of taste or sense of smell? *

Yes

No