SUNDANCE SALOON ONLINE LIVE

REQUIRED FOR IN-PERSON PARTICIPATION - read carefully, initial where appropriate, sign, and submit.

Please complete this form on Saturday, or by 3 pm Sunday.

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Masks are required at all times. If you must temporarily remove your mask (for example, to consume a beverage), keep it to a minimum, stay far away from other people, and consider going outside to the patio area. *

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We require 12 FEET between dancers, and more is better. The dance floor will be marked with tape. *

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Maintain 6 FEET minimum between people at all times when not dancing, and more is better. We want to be extra-cautious in this indoor environment. *

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Be extra careful when entering and leaving the dance floor, so you can continue to maintain your distance. Remember, you are on video. *

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Do not congregate in groups. Move away from the dance area for socializing and continue to maintain your distance. *

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Partners and cohabitants must follow the same rules as other individuals. *

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No couples dancing, even between cohabitants. *

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I certify that I am healthy to the best of my knowledge, and have none of the possible symptoms of COVID-19, including fever, chills, cough, shortness of breath, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, diarrhea, or loss of appetite. *

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I certify that I have not been diagnosed with COVID-19, nor have had close contact with anyone who was diagnosed with COVID-19, in the past 14 days. *

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I certify that the name and signature on this form matches the person who completed this form. *

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I did not read this form carefully, and I wish to be excluded from participating in this activity.

Initial here only if you agree

Name: *

Type full name here. I certify that this is the name of the person completing this document.

Email address or phone: *

For contact tracing purposes only.

Date: *

Signature *

Use your mouse or pointer to sign in the box. Clear