By submitting this form I acknowledge that:
- Filling out this form does not guarantee a visit appointment and I should not show up to SSH:Chicago without an appointment confirmation
- If I visit SSH:Chicago, I will comply with SSH:Chicago's rules and will follow any protocols that SSH:Chicago host may ask me to follow
- I take COVID-19 seriously and will refrain from visiting SSH:Chicago if I recently experienced respiratory symptoms that may be transmissible to others
- I have been immunized against COVID-19 and I am able to present proof of vaccination upon request