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COVID Testing Transparency Reporting Form
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Name 
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Pronouns
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Phone Number 
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Were you wearing a mask while traveling to the Conference?
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Were you wearing a mask at the Conference?
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What is the date you took the COVID test that came back positive? 
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Briefly describe the details regarding the positive test 
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Briefly explain the interactions you had while at the Conference? (attended "abc" workshop, ate lunch inside, attend sessions in the main ballroom, etc). Please be as specific as possible. 
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Briefly explain the interactions you had while at the Conference? (attended "abc" workshop, ate lunch inside, attend sessions in the main ballroom, etc). Please be as specific as possible. 
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Is there any other information that is pertinent to this situation? If so please briefly describe below: 
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