COVID WAIVER | EnsembleActorsStudio

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COVID-19 HEALTH DECLARATION

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Last Name

Email

I am fully vaccinated and boosted.

I will not attend class if I am experiencing the symptoms: fever, cough, sore throat.

I will not attend class if I have been in close contact with a person who has tested postive for COVID-19 within the last 14 days.

Initials

Date

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

703 Yunker Street, Suite 400

McKees Rocks, PA 15136

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Last Name

Email

Message

Thanks for joining us!!

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