TV Show COVID-19 Audience Health Declaration
Personal Information
Full Name
Contact Number
Email Address
Date of Attendance
Health Screening Questions
1. Have you had any of the following symptoms in the last 14 days? (Fever, cough, sore throat, shortness of breath, loss of taste or smell, etc.)
2. Have you tested positive for COVID-19 in the last 14 days?
3. Have you had close contact with a confirmed COVID-19 case in the last 14 days?
4. Have you traveled internationally in the last 14 days?
I declare that the information provided above is true and accurate to the best of my knowledge. I understand that I may be denied entry if any of the above information indicates a risk for COVID-19.
Signature
Date