Hybrid Rehearsal COVID Questionnaire

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Please ensure you have completed the questionnaire prior to attending each rehearsal in person. We can't wait to see you!

Singer's Full Name: *

Ensemble: *

Seniors Sing

Youth Choir of NJ

Children's Choir of NJ

Civic Chorale

Have you / your child experienced TWO OR MORE of the following symptoms:

Chills
Shivers
Muscle Aches
Headache
Sore Throat
Nausea and Vomiting
Diarrhea
Fatigue
Congestion or Runny Nose

Have you / your child experienced TWO OR MORE of the symptoms listed below? Chills • Shivers • Muscle Aches. •. Headache • Sore Throat •. Nausea and Vomiting • Diarrhea • Fatigue • Congestion • Runny Nose *

Yes

Have you / your child experienced ONE OR MORE of the following symptoms: Fever of 100.0˚ or above • Cough • Shortness of Breath • Difficulty Breathing • New Loss of Smell • New Loss of Taste *

Yes

Close Contact / Potential Exposure

Please verify if during the past 14 days:

Have you had close contact with a person with confirmed COVID-19? *

Yes

Has someone in your household been diagnosed with COVID-19? *

Yes

Have you traveled in an area of high community transmission based on the NJ Travel Advisory list and CDC Travel Notices? (Please review the Quarantine list at the following site: https://covid19.nj.gov/faqs/nj-information/travel-and-transportation/are-there-travel-restrictions-to-or-from-new-jersey ) *

Yes

I / my child show(s) symptoms of COVID-19 and will be kept home today *

Yes

IF YOU HAVE ANSWERED "YES" TO ANY OF THE QUESTIONS ABOVE, please attend rehearsal via ZOOM this week.

You may log in at cafmusic.org/virtual

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