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HEALTH DECLARATION FORM

VACCINATION STATUS

Note:

  • As mandated by OKADA, only fully vaccinated adults are allowed to enter the venue.
  • Attendees are required undergo SarsCov Swab Test

Please respond to the following questions truthfully and to the best of your ability
Fever(100° F/37.8° or greater is measured by an oral thermometer) Yes No
Cough? Yes No
Shortness of breath or difficulty breathing? Yes No
Sore throat? Yes No
Lost of taste or smell? Yes No
Chills? Yes No
Head or muscle aches? Yes No
Nausea, diarrhea, vommiting? Yes No





Form not yet fillable. Will be available on October 30 2021.