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?

*This question is required.

Name(s) of people entering the Synagogue

*This question is required.

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

*This question is required.

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

*This question is required.

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?

*This question is required.

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

*This question is required.

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

*This question is required.

*** RSNS reserves the right to deny access to the building, even if you answer “no” to all of the screening questions, for the safety of our community in our discretion. In addition, in the event that you produce a doctor’s note to seek permission to enter the building, RSNS has the right, in its discretion, to accept or not to accept that note and to deny you permission to enter for the safety of our community. ***

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