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As part of our facility reopening plan and for the health and safety of our members and staff, all those entering the building are required to complete this attestation upon entry. If you answered YES to any of the questions below you would not be permitted to enter the building on that day.

I hereby attest that on this day I can answer NO to all of the following questions:

  • Have you knowingly been in close contact in the past 14 days with anyone who has tested positive for COVID-19 or who has or had symptoms of COVID-19?

  • Have you tested positive for COVID-19 through a diagnostic test in the past 14 days?

  • Are you in mandatory quarantine by NYS Department of Health? 

  • Have you or anyone in your household experienced any symptoms  of COVID-19 in the past 14 days such as: sore throat, cough, chills, body aches, shortness of breath for unknown reasons, loss of smell, loss of taste, fever at or greater than 100.4 degrees Fahrenheit.

  • Have you traveled within a state with significant community spread of COVID-19 for longer than 24 hours within the past 14 days?

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