Covid 19 Visitor Attestation

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Email *

Last Name *

First Name *

Which event will you be attending? *

Have you had any of the following Covid-19 related symptoms in the last 14 days? *

Fever of 100.4 or higher

Cough

Shortness of breath OR difficulty breathing

Muscle or body aches

Headache

Sore throat

Recent loss of taste or smell

Congestion or runny nose

Gastrointestinal symptoms

None of the Above

Required

Have you been in close contact with anyone with confirmed COVID-19 in the last 14 days? *

Yes

Have you had a positive COVID-19 test for active virus in the past 10 days? *

Yes

Within the last 14 days, has a public health or medical professional told you to self-monitor, self-isolate, or self-quarantine because of concerns about COVID-19 infection? *

Yes

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