This form must be completed by ALL PARTIPANTS!

Welcome to the COVID-19 era of GMBC rides. Significant changes have made so that GMBC is in compliance with state requirements.

On the next page are screening questions. Consider each carefully, as you play a critical role helping reduce the spread of the virus. The data collected is for tracing purposes only.

Have you travelled? Relative to the day of the ride, did you leave the state in the previous 14-days? If so, where did you go?

• To a Northeast state(s) -- click this link, cross state travel information, locate the area(s) you visited and note the case count.
• To area(s) outside Northeast states.
  

DO NOT SIGNUP if travel took you outside the Northeast -- or -- to an area in the Northeast which has 400+ active cases per million.

The risk of exposure to live COVID-19 virus at the ride is low, but it is not zero. COVID-19 has killed many people, so please give the following considerable thought before signing up:

1. You may be exposed to the virus at the ride.
2. You may infect others (DO NOT SIGNUP  if you've been around people diagnosed with COVID in last 14-days).
   
3. At various points during the ride others will be closer than 6 feet—it’s going to happen.
4. Attending the ride could put people with whom you live or visit at considerable risk.