MCS Exposure Alert
Are you wondering if you should let MCS know that you might have COVID?  Or maybe exposed others to COVID?

Use this form to let MCS know.

If you prefer, you can email MCS at info@madisoncircusspace.com or call/text at 608-213-0817 to talk to Becky R.
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Email *
What is your name? *
Would you like to remain anonymous if we send out an alert? *
We do not have to share your name.  We can say, "a student" or "a member."
Were you EXPOSED to someone who is known (or suspected) to have COVID? *
On what DAY/DATE do you think you got exposed? *
Write "IDK" if you don't know.
Have you gone inside of the Madison Circus Space since you were exposed to COVID? *
On what DAY/DATE did you start having symptoms of COVID-19? *
You can say, "I don't have symptoms," if you're not having any symptoms.  FYI, COVID symptoms include a new, unexplained onset of cough, fatigue, congestion and runny nose, fever, headache, sore throat, sudden loss of taste or smell, brain fog, and shortness of breath.  (If you are having trouble breathing, please go to your nearest medical facility!)
Did you go to Madison Circus Space after you starting having symptoms of COVID? *
Please be honest - you won't get in trouble.  We all miscalculate what's going on with our bodies sometimes.  We need to know this information so we can tell other members about their exposure.
Are you still having symptoms of COVID-19 now? *
COVID symptoms include a new, unexplained onset of cough, fatigue, congestion and runny nose, fever, headache, sore throat, sudden loss of taste or smell, brain fog, and shortness of breath.  (If you are having trouble breathing, please go to your nearest medical facility!)
What is your test status? *
Are you in any classes at MCS that should be notified?   *
Please share info like your teacher's name and the class day/time.  If not applicable, just write "N/A."
Did you train with any people at MCS that should be notified? *
You can list the names of people that you can remember being in the same room(s) as you at MCS so we can contact them ASAP.  
Is there any other information we should know?
Please share anything else that you'd like us to know or share.  
Do YOU need anything?
Soup?  Support?  Someone to talk to?  Questions answered?  Please let us know and we'll try to connect you with member(s) who can help out.
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