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LET US UNITE: TOGETHER WE STAND DIVIDED WE FALL
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Health Declaration
Please fill out the following health declaration form in order to participate in our activity. Submissions are valid up to 24 hours prior to the activity.
First Name
Last Name
Email
My body temperature is lower than 98.6°F/ 37.5°C
Are you experiencing any health symptons with your Body, Hands or Feet??
No
Yes
Date
Initials
I confirm that the information given in this form is true
Submit
Thanks for submitting!
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