COVID-19 Event Safety Plan

Racer Name *

First Name Last Name

Email *

example@example.com

Phone Number *

Area Code Phone Number

Event *

Preliminary Dryland #1 Preliminary Dryland #2 Alaska Dog Works Dryland Derby

Racers are required to submit this form within 24 hours of event

Safety Provisions

All participants (racers, handlers, spectators, volunteers) are required to follow these safety provisions when attending any CDMA event - Please read carefully.

Registration: All registration for CDMA events will be online; no late or in-person registrations will be allowed.

Face coverings: All participants over the age of 2 will be required to wear face masks or coverings at all times in the parking lot and staging area. Both mouth and nose must be completely covered. On the trail, mask or face covering will be used when within 10 feet of another individual (e.g., during a pass).

Parking: Each racing team will park in a marked space adjacent to the starting posts, allowing a distance of at least 12 feet between competitors.

Social Distancing: Race crews (including handlers, family members, and guests) will maintain 6 feet of separation from other individuals not part of their race crew.

Race Start: CDMA will not provide assistance at the start line for teams. Each racer must be able to handle their own team. Racers and their crew are solely responsible for handling their dog team at race start.

Indoor spaces: Use of the clubhouse, timing tower, and equipment storage area is limited to authorized CDMA Board members and volunteers.

*Participants of any CDMA event include all persons present on CDMA premises during an event, regardless of membership status in CDMA. CDMA premises include the two parking lots and staging areas, sled dog trail system, clubhouse and timing tower at Beach Lake Park.

COVID-19 Screening Criteria

1) Have you had any of the following symptoms in the last 24 hours? *

	Yes	No
Cough
Shortness of breath or difficulty breathing

OR at least TWO of the following symptoms in the last 24 hours: *

	Yes	No
Fever (usually 100.4 or higher)
Chills
Muscle pain
Headache
Sore throat
New loss of taste or smell

2) In the last 14 days have you: *

	Yes	No
Been in contact with someone who was diagnosed with Covid-19 or exhibited symptoms of Covid-19?
Traveled out of state, without having a negative Covid-19 test since returning?
Been told by a public health or medical professional to self-monitor, isolate, or quarantine because of concerns about Covid-19 infection?
Had a positive test for active Covid-19?

If you answer “YES” to any of the questions above, please DO NOT ATTEND this CDMA event. CDMA will refund your entry fee upon request.

Contact Information:

Enter names and phone numbers of all members of your race crew *

*Include all handlers, family members, and guests that will attend the event with you

Any participant exhibiting Covid-19 symptoms at any CDMA event will be asked to leave the premises. If subsequent testing is positive for Covid-19, participant shall notify CDMA within 24 hours.

Once notified, CDMA will contact the Anchorage Department of Health and Human Services of potential exposure and provide all available contact information for participants at the time of occurrence.

Certification *

I have read the CDMA Covid-19 Safety plan and agree to follow its provisions. All members of my race crew (handlers, family members, and guests) have read the CDMA Covid-19 Safety plan and agree to follow its provisions. I certify that the information I provided in this form is complete and accurate, to the best of my knowledge.

Signature *

Clear

Date *

Submit this form within 24 hours of Event

Chugiak Dog Mushers Association (CDMA) has developed this Covid-19 Event Safety Plan in accordance with current CDC guidelines and the mandates set by the Municipality of Anchorage and the State of Alaska.

All individuals should consider their risk of exposure to Covid-19 before attending any CDMA event.