In the last week, I confirm that I have not had the following symptoms:

• Cough
• Shortness of breath or difficulty breathing OR,

Two or more of the following symptoms:
• Fever
• Chills
• Repeated shaking with chills
• Muscle Pain
• Sore throat
• New loss of taste or smell

I understand that if I have had coughing; or shortness of breath; or difficulty breathing; or two or more of the listed symptoms in the past week or before the Worship Service, I must not enter the building.