COVID-19 Disclaimer

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* 1. Please enter the name associated with your reservation.

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* 2. Within the last two weeks, has anyone in your party experienced any of the following symptoms: fever or chills; cough; shortness of breath or difficulty breathing; muscle or body aches; headache; new loss of taste or smell; sore throat; nausea or vomiting; or diarrhea?

Yes

No

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* 3. Within the last two weeks, has anyone in your party been in close contact with anyone who has tested positive for COVID-19?

Yes

No

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* 4. Within the last two weeks, have you been in close contact with anyone who has exhibited any new and unexplained symptoms noted above?

Yes

No

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* 5. You are required to bring a face covering to Merrill House and wear it in public indoor spaces. You need not wear it when you are seated at a dining table. Please confirm that you understand this policy.

I (we) understand and accept this policy.

I (we) do not understand or accept this policy.

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* 6. Please type your name(s) in capital letters to sign this disclaimer.

Guest 1

Guest 2

Guest 3

Guest 4