Health + Safety Pledge Winter '21
(REVISED 1/1/21) This form must be completed EACH TIME you attend any in-person Groove class or event either indoors or outdoors. By checking the box next to each safety measure, you are acknowledging and agreeing to these guidelines. Thank you in advance for your compliance with and enforcement of these important health guidelines.
Email address *
May we reach out to you by text? If yes, please provide best reach number(s)
DATE of your upcoming Groove class or event. *
Names of all those attending *
PRE-CLASS PROTOCOL: Please confirm the following for all attendees AND members of their extended families: *
PROTOCOLS DURING CLASS: All attendees will adhere to the following safety measures: *
POST CLASS PROTOCOL: If attendee or attendee's family member is diagnosed with Covid-19 and/or quarantining due to exposure to Covid-19, DO NOT attend class and please notify Groove Family Music (914-834-3383) as soon as possible. Your identity will be kept strictly confidential. Thank you!
Please err on the side of caution out of consideration for your fellow music makers! If you have questions, comments or concerns, please leave a note below or email Thank you!
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