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SSC COVID-19 Member Contact Tracing
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Arrival time at club (24 hr clock)
*
Time
:
AM
PM
Departure time from club (24 hr clock) (approximate; not mandatory)
Time
:
AM
PM
Date (if other than the day you are submitting on)
MM
/
DD
/
YYYY
Group size and additional name(s)
*
Your answer
Phone number
*
Your answer
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