Please use this form to volunteer for our Morgan Preserve clean-up on April 24 from 9-11am. Complete project details will be sent after registration is complete. Are you fully vaccinated OR have you recovered from a documented COVID-19 infection in the last 3 months? * Yes No Have you experienced any of the following symptoms in the past 48 hours? * • fever or chills • cough • shortness of breath or difficulty breathing • fatigue • muscle or body aches • headache • new loss of taste or smell • sore throat • congestion or runny nose • nausea or vomiting • diarrhea Yes No Are you isolating or quarantining because you tested positive for COVID-19 or are worried that you may be sick with COVID-19? * Yes No Have you been in close physical contact in the last 14 days with: * • Anyone who is known to have laboratory-confirmed COVID-19? OR • Anyone who has any symptoms consistent with COVID-19? Close physical contact is defined as being within 6 feet of an infected/symptomatic person for a cumulative total of 15 minutes or more over a 24-hour period starting from 48 Yes No Are you currently waiting on the results of a COVID-19 test? * IMPORTANT: ANSWER “NO” IF YOU ARE WAITING ON THE RESULTS OF A PRE-TRAVEL OR POST-TRAVEL COVID-19 TEST Yes No Have you travelled in the past 10 days? * Yes No First Name * Last Name * Email Address * The program reminder and/or virtual link will be sent to this email address. Mailing Address City, State Zip Code * Photo and Video Waiver option * Often we take photos or videos at our events and programs to use in future publications. Use the yes or no buttons to let Portage Park District know if you agree to the photo and video consent. Photo and video consent: I agree to allow publication of any photo/media for future park district programming. Yes No Leave this field blank