Covid-19 Health Declaration

This questionnaire is for contact tracing purposes only.  It is mandated by public health officials and the CDC that you complete this form prior to entering our events. My typed name below represents my signature. With community transmission of communicable diseases, you could be exposed anywhere to infectious diseases, including, but not limited to Covid-19. This event is following State & Federal regulations to limit transmission of communicable diseases. However, it is possible that these precautions will not always be successful in blocking the transmission of these diseases. By participating in this event, you assume and accept the risk that you may inadvertently be exposed to a communicable disease. I hereby release, covenant not to sue, discharge, and hold harmless the INBF/WNBF, its employees, agents, and representatives, from claims, actions, damages, costs or expenses of any kind arising out of or relating to attendance and/or participation at this event. You are required to disclose any signs and symptoms of covid-19 that you have below via details in email to the promotor. Fever, Dry cough,Tiredness, Aches and pains, Sore throat, Diarrhea, Conjunctivitis,Headache, Loss of taste or smell ,a rash on skin, or discoloration of fingers or ,toes, Difficulty breathing or shortness of breath, Chest pain or pressure, Loss of speech of movement .Seek immediate medical attention if you have serious symptoms. Always call before visiting your doctor or health facility.

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