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En Pointe Dance & Fitness

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REGISTRATION AND LIABILITY WAIVER

SELF-SCREENING QUESTIONNAIRE

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COVID-19 Liability Waiver

Covid-19 Health Declaration

How are you feeling today?

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My body temperature is lower than 98.6°F/ 37.5°C

I am not experiencing the symptoms: fever, cough, sore throat

I haven’t been in close contact with a Covid-19 patient in the last 14 days

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I declare that the info I’ve provided is accurate & complete

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713 Termino Avenue, Long Beach, CA 90804

(562) 438 - DANCE