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Covid-19 Shul Registration Form

I confirm that I am healthy and do not display any symptoms related to Covid-19, nor have I been in contact with any confirmed or possible cases in the past 14 days.
I confirm that I am healthy and do not display any symptoms related to Covid-19, nor have I been in contact with any confirmed or possible cases in the past 14 days.
Please list any children's names who will be joining you (under the age of Bar/Bat Mitzvah)
I confirm that my children are healthy and have not displayed any symptoms related to Covid-19, nor have they been in contact with any confirmed or possible cases in the past 14 days.
Wed, 21 October 2020 3 Cheshvan 5781