I certify all the information provided is shared to the best of my abilityPlease enable JavaScript in your browser to complete this form.Name *FirstLastEmail *Team Name *In the last 7 days have you been in close contact with anyone diagnosed with COVID-19? *NoYesHave you recently returned form international travel or from a State that New York considers high -risk? *NoYesAre you experiencing any of the following symptoms *Fever or ChillsCoughShortness of breathDifficulty breathingMuscle or Body AchesheadachesNew loss of taste or smellSore throatCongestion or runny noseDiarrheaNone of the aboveSubmit
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