Yisod Movie Night Registration

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Grab your sweaters, blankets, hot cider and join Yisod for another movie night under the stars. This event is byo- food and drink, please make sure that everything you bring is vegetarian/kosher and note that due to the current pandemic, food cannot be shared beyond those in your immediate household. We will have some chairs provided, but also encourage you to bring your own chair/blankets to stay warm. All attendees must complete this form to attend, and all attendees MUST wear a mask during the event. Due to COVID-19, there are a limited 34 spots available for this event. Sign up to save your spot now!

Questions? Please contact Samantha Price at sprice@templeemanuel.com

Email *

First and Last Name *

All participants are required to attest to the following 5 statements. Please note, you are confirming for yourself as well as anyone attending with you (who lives in your immediate household). You will be asked to reconfirm these statements upon arrival. *

I affirm I and everyone in my party will wear a mask covering my/our mouth(s) and nose(s) for the entirety of the time I/we am/are on the grounds of Temple Emanuel and will observe social distance rules. If I/we fail to do this, I/we understand I/we will be asked to leave.

Neither I nor any member of my family has had any of the following symptoms within the past 14 days (Fever, Fatigue, Headache, Cough, Sore Throat, Shortness of Breath, Muscle Pain or Body Aches, Chills, Congestion, Runny Nose, New loss of taste or smell, Mild Pink Eye, Vomiting or nausea, Diarrhea)?

I have not had close contact with anyone suspected of contracting or having the COVID-19 Virus within the past 14 days.

I have not had a positive virologic/antigen COVID-19 test in the past 14 days.

I have not been in contact with anyone during the past 14 days that has traveled to the U.S. from overseas.

Required

If you are attending with another person, please indicate their first and last name below. *

A copy of your responses will be emailed to the address you provided.

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