IN PERSON COVID-19 SCREENING | PWRME Athletica

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COVID-19 SCREENING

As we would like to see you all for outdoor workouts. We have to ensure safety first. Please take time to fill out this form carefully base on your screen. If approval, you'll receive a confirmation to confirm your slot

First Name

Last Name

Email

Phone

1. Have you traveled to any of these locations in the last 14 days?

2.Have you had any of these symptoms in the last 14 days?

3. Have you had contact with anyone with confirmed COVID-19 in the last 14 days?

4. Are you currently experiencing fever over 100, difficulty breathing or cough?

If you answered yes to question 1 and-or 2, please call your primary care provider or your State Department of Health for further direction.

No plans availableOnce there are plans available for purchase, you’ll see them here.

©2022 by PWRME Althletica

Minneapolis, MN, USA

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