Name * First Name Last Name Do you or anyone attending the event have any of the following symptoms: - Fever - Sore Throat - Cough - Shortness of breath * YES NO Have you or anyone attending the event traveled internationally within the last 14 days? * YES NO Have you or anyone attending the event worked in a healthcare setting that has confirmed COVID-19 cases? * YES NO Have you or anyone attending the event had close contact with a person known to have Coronavirus (COVID-19)? * YES NO Thank you! These questions are provided for everyone’s safety. You are responsible for answering these questions truthfully.