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COVID-19 Health Check Form - Part 1
Please complete the following questionnaire each day before arriving at our facility.
* Indicates required question
* Please note that Kozmic Sound still requires a 10 day isolation period with no lingering symptoms for anyone who has tested positive or has had a close contact exposure before attending a session in person, not 5 days as per BC Public Health.
Full Name
*
Your answer
Email Address
*
Your answer
Date of form submission
*
MM
/
DD
/
YYYY
Are you fully vaccinated against COVID-19?
YES
NO
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