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Company
Shows
Training Program
Class Schedule
Faculty
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Artists
Contact
COVID-19 Health Screening
My Information:
First Name
Last Name
Email
Phone Number
Prior to the start of class, I confirm that:
Diagnosis
I have not been diagnosed with or cared for someone diagnosed with COVID-19 in the past two weeks
Contact with Symptomatic
I have not shown symptoms of COVID-19 or come in close contact with anyone exhibiting these symptoms in the past two weeks
Travel
I have not traveled outside of my immediate daily routine for the past two weeks
Symptoms
I do not have a cough, fever, chills, shortness of breath, or loss of taste or smell
Contact Intrepid Staff
If I begin to show symptoms of COVID-19 within the next two weeks, I will contact Intrepid staff immediately
Follow Studio Rules
I will follow all posted studio rules to keep myself, my classmates and instructors, and those around me safe
Digital Signature
Digital Signature
Confirm Digital Signature
By adding your signature twice below, you confirm that the information above is accurate
Signed On
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