Check-In
For the safety of fellow attendees and as part of our Covid-19 protocols, please complete this form honestly and sanitize your hands before entering the premises.
Name *
Email *
Phone Number *
Do you have any of the following symptoms that are not caused by another condition: fever or chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, recent loss of taste or smell, sore throat, congestion, nausea or vomiting, diarrhea? *
Have you been in close contact with anyone with COVID-19 in the past 14 days? Close contact is being within 6 feet for 15 minutes or more over a 24-hour period with a person; or having direct contact with fluids from a person with COVID-19 with or without wearing a mask (i.e., being coughed or sneezed on). *
Have you had a positive COVID-19 test for active virus in the past 10 days, or are you awaiting results of a COVID-19 test? *
Within the past 14 days, has a public health or medical professional told you to self-monitor, self-isolate, or self-quarantine because of concerns about COVID-19 infection? *
There is an inherent risk of exposure to COVID-19 in any public place where people are present, particularly where there may be close contact with others. COVID-19 is an extremely contagious disease that can lead to severe illness and death. I understand I am responsible for being mindful of my actions and following the recommended health and safety protocols. I agree to indemnify and hold harmless the FAASL, their Board, Trustees, officers, employees, agents, contractors, and representatives, from any and all liabilities, claims, actions, damages, costs, losses of any kind (including attorney fees and costs through appeal) arising from or out of or related to exposure to or infection with COVID-19 or any other illness, injury, including death, related in any way to my participation in a FAASL event and activity. *
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