Take Home Agreement COVID-19 Agreement First Name Last Name Email Are you or anyone in your party currently experiencing (or have experienced in the last 14 days) severe, acute lower respiratory illness (cough, shortness of breath), sore throat, muscle aches, headache, or fever?* Yes No Have you or anyone in your party been in close contact with any person that has had a fever, cough, sore throat, muscle aches, shortness of breath, or headache within the last 14 days?* Yes No Δ Share this:TwitterFacebookLike this:Like Loading...
