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EET In-Person Health Form

If the answer to any of the health questions below is "Yes," do not come to East End Temple in person. 
  • Please complete this form on the same day you will come to East End Temple.
  • You must submit a separate form for each person.
  • If you answer "No" to all the questions, you will receive a confirmation email which should be shown when you arrive.
By submitting this form, you agree that you are accurately reporting your health to the best of your knowledge, and that you will notify the office if you test positive for Covid-19 after coming to East End Temple. Please help us keep everyone safe and healthy, and do not come in person if you have any doubts about your health. 
Sat, January 22 2022 20 Sh'vat 5782