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Covid 19 Screening form

Covid 19 Screening form & Agreement & Liability Waiver

Please read the information carefully and write your name and date at the bottom of the page before attending our event.

Agreement & Liability Waiver

COVID-19 Screening

I confirm that I do not have any of the symptoms listed above.

I have one or more symptoms and prefer to stay at home

Date

I have read the following Liability Waiver and agree to be bound by its terms.

Your Name

Fast Truck Test