WMO Registration Form for Men's Operations (Phase 2)

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Please note: If you have already submitted a registration form for Phase 1, a new registration form for Phase 2 is not needed.

Name *

Preferred Email Address *

Preferred Phone Number *

What is your Covid-19 vaccination status? *

I am fully vaccinated.

I am not fully vaccinated now, but expect to be soon. (Please write the date in the following question.)

I am not fully vaccinated, and do not plan to get vaccinated soon

I prefer not to answer

必填

If you indicated above that you expect to be fully vaccinated by a certain date, please write that date here.

YYYY

We rely on the efforts of volunteers for all aspects of WMO operations. Please let us know if you would be interested in helping out, particularly with regard to taking a shift to help monitor men’s operations.

I might be interested in volunteering. Please contact me to discuss possibilities.

Please read the following rules for Phase 1 Men’s Operations:

1. Mikvah will be open only for men who are members in good standing of WMO, and who are registered for Men’s Operations. No guests are allowed. *

I understand and agree.

必填

2. Mikvah will be open for men's usage Sunday through Friday, from 6:00 AM to 9:15 AM. All users must leave before 9:15 AM. *

I understand and agree.

必填

3. Signs will clearly indicate which mikvah pool is to be used by men on a given day. Only the indicated pool is to be used. *

I understand and agree.

必填

4. Men are to shower before coming to the mikvah, and are to bring their own towels. Men are not to use towels found in the mikvah building. *

I understand and agree.

必填

5. Men are to wear facial masks all the time that they are on mikvah property, except when actually in the water.

I understand and agree.

6. All CDC, Maryland, and Montgomery County guidelines regarding Covid-19 will be followed. Men are not to come to the mikvah if they are experiencing any Covid-19 symptoms, or have a known exposure within the last 10 days. (Contact president@woodsidemikvah.org if you have questions about medical eligibility to use the mikvah.) *

I understand and agree.

必填

Please note that we hope to expand men’s operations in future phases, but this will depend greatly upon the observance of these rules by all users. As we work towards reopening men's operations, please feel free to write any requests or suggestions below.

Submission of this form to the WMO signifies understanding of and agreement to the rules for Phase 2 men’s operations. *

I understand

必填

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