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* 1. Full Name

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* 2. Preferred Contact Information: Phone or Email of Talent, Agent or Manager

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* 3. Date Expected to arrive at the facility

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* 4. Have you traveled outside of California within the last 14 days?

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* 5. Have you been in close contact with anyone who has traveled outside of the country within the last 14 days?

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* 6. Are you currently under isolation or quarantine orders due to possible exposure to Covid-19, or travel requirements?

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* 7. Have you or someone you care for been diagnosed with COVID-19 in the last 14 days?

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* 8. Have you had close contact (defined as within 6 feet for 10 minutes cumulatively within 24 hours) with someone diagnosed with Covid-19 within the last 14 days?

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* 9. Have you or someone that you live with experienced any cold or flu-like symptoms in the last 14 days (fever, chills, cough, shortness of breath, difficulty of breathing, fatigue, muscle or body aches, headache, loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, diarrhea)?

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* 10. By checking the "Confirm" box below, you attest that your answers for the questionnaire are truthful and accurate.

If you answered "yes" to any of the questions above, we may not be able to grant access to the facility for at least 14 days.

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