Homecoming & Family Days 2021 - Friday, October 15 - Visitor Attestation
Visitor Information
First Name
Last Name
Email Address
Phone Number
Affiliation
Please select...
Alumni
Parent/Family Member
Alumni and Parent/Family Member
Attestation Information
I
affirm that I have:
NOT experienced any symptoms of COVID-19 in the past 14 days (fever, cough, shortness of breath or difficulty breathing, fatigue, chills, headache, repeated shaking with chills, nausea, muscle pain or body aches, sore throat, congestion or runny nose, abdominal pain/diarrhea, or new loss of taste or smell)
NOT tested positive for COVID-19 in the past 14 days
NOT knowingly been in close or proximate contact in the past 14 days with anyone who has tested positive for COVID-19 or who has or had symptoms of COVID-19
(regardless of my citizenship) fully complied with the vaccination, travel testing and quarantine
policies of the Centers for Disease Control (CDC)
for international travel
.
Yes, I affirm that I have not experienced any of the situations or criteria above, to the best of my knowledge.
Please type your name as your signature and attestation to the above selection