RSNS COVID Attestation

We are asking all entrants to RSNS to self-monitor & report symptoms or potential COVID-19 exposure. Please complete the following form before entering the building.

What's your email?

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Name(s) of people entering the Synagogue

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This morning, were the temperatures of any entrants 100.0°F or higher?

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In the past 14 days, has any entrant experienced symptoms of COVID-19: fever, cough, shortness of breath, loss of taste or smell, etc.?

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In the past 14 days, have any entrants knowingly been in close contact with anyone who has tested positive for COVID-19 or who has had symptoms of COVID-19?

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In the past 14 days, have any entrants tested positive for COVID-19?

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In the past 14 days, have any entrants traveled outside of the State of New York to a hot spot state? Look here for more information

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