Co-Vid Policy Approval Form
Weld RE-4 School District- 4th Quarter

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Name of Group
Email Address
Phone Number
School or Location *
Date of Event *
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Time of Event *
Time
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Purpose of Event *
Capacity Restrictions of Event - https://covid19.colorado.gov/data/covid-19-dial-dashboard#restrictions   What is the level at the time of your request? *
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Is this activity *
Is this activity *
How many people will be attending? (including participants, spectators, group staff) *
Once you have the number of people attending- enter the number on this calculator.  https://www.banquettablespro.com/social-distancing-room-space-calculator  What is the square footage available; considering number of people allowed at 6 feet apart? *
How will you promote and ensure social distancing, 6 feet between individuals or family groups? *
How are you going to promote and ensure masks are worn at the event? *
How are you communicating to invited individuals the Co-Vid 19 symptoms and to not attend if they have symptoms? *
You must submit a plan that shows socially distance seating or spacing at the event, separate entrances and exits, and any other pertinent details. *
**If this event is an ensemble performance (band, orchestra, theater, etc.) *
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