Have you(or any family member you are also registering) experienced a fever of 100.4 degrees Fahrenheit or greater, a new cough, new loss of taste or smell, or shortness of breath within the past 10 days?
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In the past 10 days, have you(or any family member you are also registering) tested positive for COVID-19?
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To the best of your knowledge, in the past 14 days, have you(or any family member you are also registering) been in close contact(within 6 feet for at least 10 minutes) with anyone while they had COVID-19?
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If you have answered yes to any of the following, have you(or any family member you are also registering) been tested for COVID-19? Please explain more below.
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I understand Fanwood Presbyterian Church cannot be held liable for any injuries or sicknesses contracted by myself or a family member attending Sunday Worship.
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By checking the box below, you agree to follow the protocols listed at the top of this form.