Bonnie's Yoga Shala COVID-19 Screening
Updated August 29, 2022 Please fill out this form to screen for COVID-19 interactions and symptoms for your FIRST class and IF you have had Covid in the last 5 days, prior to returning with a Negative result. Allow time to complete and submit the form prior to class.

Things are really improving with more people vaccinated and Mild cold symptoms rather than hospitalization .  Although we are all under a good light and participate in a safe practice, Your continued cooperation is greatly appreciated, Namaste.
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What is your Full name? *
Which class are you reserving your spot in? *
What is your payment form? *
Have you or anyone in your household and/or pod had any of the following symptoms IN THE PAST 5 DAYS: sore throat, cough, chills, body aches for unknown reasons, shortness of breath for unknown reasons, loss of smell, loss of taste, fever at or greater than 100 degrees Fahrenheit? *
Do you have any reason to believe you or anyone in your household and/or pod has been exposed to or acquired COVID-19 IN THE PAST 5 DAYS? *
To the best of your knowledge have you been in close proximity to any individual who tested positive for COVID-19 IN THE PAST 5 DAYS? *
Have you or anyone in your household and/or pod traveled in the U.S. to a restricted state or internationally IN THE PAST 5 DAYS? (Please reference link to see updated list of restricted states: coronavirus.health.ny.gov/covid-19-travel-advisory ) *
Have you had your vaccination? *
Can you show Proof of Vaccination / having antibodies or a negative test results? *
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