Shir Tikvah Outdoor In-Person Event Preregistration Form

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We are thrilled to now be offering outdoor socially-distanced in-person programming at Shir Tikvah! In order to participate, we require preregistration to complete an advanced health screening and ensure our events comply with local and state guidelines for outdoor gatherings. Space is limited, so please register based on that which you plan to attend and please notify us at info@shirtikvah.org if your plans change.

Email *

Last Name, First Name (of the individual completing this form) *

Do you or have you or anyone in your family/household had any of the following symptoms within the last 24 hours: Fever or feeling feverish (chills, sweating), New cough, Difficulty breathing, Sore throat, Muscle aches or body aches, Vomiting or diarrhea, New loss of taste or smell, or extreme fatigue? *

Yes

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