Mask
I agree to wear a mask at all times.

Symptoms Checker
By checking this box, I agree to assess myself for COVID-19 symptoms via CDC website: https://www.cdc.gov/coronavirus/2019-ncov/symptoms-testing/symptoms.html prior to coming and I will not attend any show if I have symptoms.

Proof of Vaccination
By checking this box, I understand that I will be asked to present proof of vaccination before entering the indoor show.

Notification
Prior two attending a show, if you become aware of a positive COVID-19 test/status, you will notify us no less than two weeks after following your visit. Contact us at info@pushdance.org

Signature
By checking this box, I consent to signing this form electronically.

Full Name

Email

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