Hybrid Rehearsal COVID Questionnaire
Please ensure you have completed the questionnaire prior to attending each rehearsal in person. We can't wait to see you!
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Singer's Full Name: *
Ensemble: *
Have you / your child experienced TWO OR MORE of the following symptoms:
Chills
Shivers
Muscle Aches
Headache
Sore Throat
Nausea and Vomiting
Diarrhea
Fatigue
Congestion or Runny Nose
Have you / your child experienced TWO OR MORE of the symptoms listed below? Chills • Shivers • Muscle Aches. •. Headache • Sore Throat •. Nausea and Vomiting • Diarrhea • Fatigue • Congestion • Runny Nose *
Have you / your child experienced ONE OR MORE of the following symptoms: Fever of 100.0˚ or above • Cough • Shortness of Breath • Difficulty Breathing • New Loss of Smell • New Loss of Taste *
Close Contact / Potential Exposure
Please verify if during the past 14 days:
Have you had close contact with a person with confirmed COVID-19? *
Has someone in your household been diagnosed with COVID-19? *
Have you traveled in an area of high community transmission based on the NJ Travel Advisory list and CDC Travel Notices? (Please review the Quarantine list at the following site: https://covid19.nj.gov/faqs/nj-information/travel-and-transportation/are-there-travel-restrictions-to-or-from-new-jersey ) *
I / my child show(s) symptoms of COVID-19 and will be kept home today *
IF YOU HAVE ANSWERED "YES" TO ANY OF THE QUESTIONS ABOVE, please attend rehearsal via ZOOM this week.
You may log in at cafmusic.org/virtual
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