Guest and Visitor Safety Acknowledgement to COVID-19 Pandemic Guidelines
By completing below as a guest or visitor of Salem Academy and College (“Salem”), I acknowledge and agree that:
• I have carefully read and agree to follow Salem’s guest and visitor guidelines applicable during the COVID-19 pandemic;
• I have carefully read and agree to complete the Daily COVID-19 Screening Checklist [
] and to follow Salem’s Isolation and Quarantine Requirements [
] prior to campus entry; and
• I will not enter campus if my responses to any of Questions 1–6 on the Daily COVID-19 Screening Checklist are “Yes” on the day(s) of my scheduled campus visit(s). In this situation, I will notify my Salem contact and reschedule my campus visit(s) after receiving clearance from Salem in accordance with Salem’s Isolation and Quarantine Requirements.
Type your name here to confirm your agreement to abide by this Guest and Visitor Safety Acknowledgement:
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Salem Contact Person or Department
* For minor visitors and guests (under 18 years of age), please print the name of the minor child and a parent or guardian signature is required.
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This form was created inside of The Salem Academy and College.