Required before entrance to facility.

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* 1. Full Name

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* 2. Email

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* 3. Phone Number

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* 4. Address

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* 5. Date of filling out screening:

Date
Time

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* 6. In the past 24 hours, have you experienced:

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* 7. In the past 14 days, have you come into close contact with anyone who has tested positive for COVID-19?

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* 8. In the past 14 days, have you traveled by public transportation domestically or internationally? This includes flying on airlines. 

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* 9. Do you agree that by participating in this contest, you understand accept all risk that comes as a result?

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