Contact Information
Rectory School Visitor Contact Tracing COVID-!9
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Email *
Name *
Address *
Phone number
In the past 14 days have you had a new onset of cough, sore throat, congestion, headache, loss of taste or smell, or diarrhea?  Have you had contact with anyone who has had these symptoms or tested positive for COVID-19? *
Are you fully vaccinated?
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Location, classroom, or person(s) you are visiting *
Time in *
Time
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Time Out *
Time
:
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