TCC COVID Self-Screening Form

TCC Covid Self-Screening

(to be completed on the day of your arrival, but prior to arriving on TCC property)

First Name

Last Name

Within the last 14 days, I and/or someone in my group, and/or someone in my home has traveled internationally.

Within the last 14 days, I and/or someone in my group has been diagnosed with COVID-19.

Within the last 14 days, I and/or someone in my group has experienced some or all of the following symptoms: fever, cough, shortness of breath, chills, sore throat, new loss of taste or smell, muscle pain.

Within the last 14 days, I and/or someone in my group has been in close contact with someone with COVID-19 or someone with the symptoms of COVID-19, as listed in the above statement.

Initials

Date

I declare that the info I’ve provided is accurate and complete and applies to me and/or someone in my group. I will contact TCC immediately by phone or email to cancel my reservation for myself or anyone in my reservation if I checked any of the statements above.

Thanks for submitting!