Temple Rodef Shalom COVID-19 Screening
Please complete this required form prior to entering the temple. Once the form is submitted, you will receive an email confirmation with a summary of your responses. Please show that email to temple staff upon arrival at/entry to the temple. We appreciate your effort to keep our community, and each other, safe and healthy.
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Email *
First Name *
Last Name *
Date of visit *
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Are you fully vaccinated? *
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