Dear Guest of Andover Country Club,

We are happy to have you at our Club. The health, safety and happiness of our members and staff is our priority.

Before you use our facilities, you must sign, date and provide contact information below to attest to the following:

1. You have not had any symptoms related to COVID-19 in the past 24 hours. Common symptoms include fever, chills, sweats, cough, shortness of breath, nausea, loss of smell/taste.
2. You have not been in close physical contact with anyone who has tested positive for COVID-19 in the last 14 days.
3. You have not traveled or resided outside of Massachusetts. All visitors entering Massachusetts, including returning residents, who do not meet an exemption, are required to complete the Massachusetts Travel Form prior to arrival, unless you are visiting from a lower-risk state designated by the Department of Public Health.

Any member or guest who cannot attest to the items above may not use the facilities at Andover Country Club.