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COAH CHECK-IN
First Name
Last Name
Phone
Email
My body temperature is lower than 37.5°C
I am not experiencing these symptoms: fever, cough, sore throat
I haven’t been in close contact with a Covid-19 patient in the last 14 days
Initials
Date
I declare that the info I’ve provided is accurate & complete.I understand that City on a Hill Church and any attending members and guests cannot be held liable should I experience exposure to the virus and that the responsibility of wearing a mask and maintaining distance is at each individual’s discretion based on the status of their vaccination.
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