Audience Health Screening Sandy Stramonine School of Dance 2021 Recitals Sunday June 27, 2021
In order to attend any of our shows on Sunday June 27, 2021, you MUST answer the following questions truthfully, sign/date at the bottom of this form, and hand it in as you enter the school. *All audience members must wear appropriate face coverings
1) What show are you attending? Please Circle: Show 1 Show 2 Show 3
2) Do you have a temperature higher than or equal to 100.4 degrees Fahrenheit? Circle: Yes or No
3) Have you had any known contact with a person confirmed to or suspected to have COVID-19 in the past 14 Days and is designated as a close contact by the Department of Health? Circle: Yes or No
4) Are you currently experiencing ANY COVID-19 related symptoms including but not limited to loss of taste/smell, cough, shortness of breath, sore throat, etc.? Circle: Yes or No
5) Have you tested positive for COVID-19 through a diagnostic test in the past 14 days? Circle: Yes or No
6) Are you currently under quarantine by the Department of Health and unable to attend school or work? Circle: Yes or No
**If you have answered 'Yes’ to ANY of these questions, You will NOT be allowed to enter the theatre. This is to keep our audience, dancers, volunteers, and staff safe.