Manhigut Bonfire registration form

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Hey Manhiguters!
This Thursday we will be having a Bonfire, BBQ and Tie Dye event for Shevet Manhigut
The event will take place at the home of the Shlichim (in the backyard), at 6:30PM
Hope to see you there!

(Masks must be worn and social distancing and hand washing will be maintained throughout the event)

Email *

Name: *

Have you experienced any of the following symptoms over the last 14 days: Temperature over 100F, Sore Throat, Cough/ Shortness of breath or difficulty breathing (not allergies), Chills- repeated shaking with chills, Loss of taste or smell, Diarrhea and fever, Known close contact with a person who is lab confirmed to have Covid-19 or in contact with someone being tested for Covid-19 within 10 days from the last exposure *

Yes

Have you been in contact with a person who has a confirmed case of Covid-19? *

Yes

I agree to observe these rules throughout my time at the Manhigut event: Everyone attending must wear a mask, Social Distancing guidelines must be followed along with handwashing/ sanitizing. *

Yes

Send me a copy of my responses.

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