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Ink Shop Daily Health Screen for Visitors
Please complete this form before your scheduled visit
Come in only after scheduling your visit by contacting
artists@ink-shop.org
Our Visitor Rules are listed here:
https://ink-shop.org/covid-19-procedures-for-ink-shop-visitors/
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Your Name
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Your answer
For reference,
Covid 19 symptoms includes: fever, chills, headache, nausea, vomiting, diarrhea, cough, sore throat, runny nose, muscle aches, fatigue, rash, abdominal pain, difficulty breathing, loss of taste and smell
Daily Health Screen
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If you cannot check one of these boxes, please contact us before coming in.
I will enter CSMA with a mask and maintain a 6 foot distance and wear a mask while others are in the studio
My household is following all state recommendations regarding social distancing, masks, etc.
No member of my household tested positive for COVID 19 in the past 7 days
No member of my household has had contact with anyone experiencing symptoms of COVID-19
I exhibit NO SYMPTOMS of Covid-19 (Even mild symptoms are notable)
I will use hand sanitizer or wash my hands thoroughly as soon as I enter and before leaving the Ink Shop
I have been fully vaccinated for COVID 19 and received my booster or if not I have received a negative COVID test within the past 2 days.
Required
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I understand that participation in any activity outside my home, including at the Ink Shop Printmaking Center, increases my household members' risk of exposure to the Covid-19 virus. I assume full liability if I become ill or injured while at The Ink Shop Printmaking Center and/or if my family becomes ill through a connection with The Ink Shop Printmaking Center.
We appreciate your visit to the Ink Shop! Thank you for the extra time it takes to keep us all safe by completing this health screen! We welcome your comments and feedback. Please use this space If you’d like to share something.
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