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COVID LIABILITY RELEASE FORM

For the health and safety of everyone, please read carefully and answer honestly.

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I hereby acknowledge the above symptoms and confirm that I, as well as all members of my household, have not experienced any listed symptoms within the last 14 days.

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I confirm that I, as well as all members of my household, have not been diagnosed with COVID-19 within the last 30 days.

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I confirm that I, as well as all members of my household, have not been knowingly exposed to anyone diagnosed with COVID-19 in the last 30 days.

Thanks for submitting!

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