USAC.25 HEALTH SAFETY QUESTIONNAIRE

  • USAC.25 HEALTH SAFETY QUESTIONNAIRE for HQMA Region Race ON 6/25/2020

  • The safety of our drivers, competitors and USAC.25 members remain a priority. To prevent the spread of COVID-19 and reduce the potential risk of exposure to club members, officials and competitors, please complete this simple health screening questionnaire.

  • REQUIRED FOR EVERYONE ATTENDING THE EVENT

  • This form should be completed by anyone attending the event; club members, officials, competitors, family and friends.
  • Enter the date you completed the health assessment.
  • By typing your name, you agree the answers above are correct to the best of your knowledge.