Help us keep you safe at The Space! It's a team effort, after all!
Due to the ongoing and rapidly changing situation with the novel-coronavirus, we are require all guests to The Space to strictly follow our Covid-19 Studio Protocols.

Please carefully read and understand the safety measures listed here

Each guest must fill-out the self-declaration form below in order to get access to The Space.
Email *
Full Name *
Phone Number *
Have you read The Space's Covid-19 Studio Protocols? *
Do you confirm that you will strictly adhere to all safety requirements while at The Space? *
Name the things that guests are required to bring with themselves? *
Do you have any cardiovascular or respiratory conditions? *
Do you currently have any of the following flu-like symptoms? If one of these symptoms are present currently or in future, do not come to The Space *
Fever (100.4° F or higher)
Loss of smell and/or taste
Sore Throat
Body Aches & Pains
Have you been directly exposed to someone who is suspected of having or diagnosed with COVID-19? *
Have you been infected with Covid-19 recently? *
What's you vaccination status?
Clear selection
Do you agree to the following: 1) By signing this self-declaration form, you confirm that you have read, understood and accept The Space's Covid-19 Studio Protocols. 2) You also further confirm that you agree that you share equal responsibility in keeping The Space's community & team safe and therefore you will strictly follow these safety guidelines to prevent spread of infection. *
Never submit passwords through Google Forms.
This form was created inside of The Space. Report Abuse