COVID-19 Screening and Contact Tracing

Name

First Name

Last Name

Phone

(###)

###

####

Date

YYYY

Have you tested positive for COVID-19 in the last 14 days?

Are you experiencing any of the following symptoms: cough, shortness of breath, sore throat, tightness in chest, nasal congestion, runny nose, body aches, loss of taste and/or smell, diarrhea, nausea, vomiting, fever/chills/sweats?

Have you knowingly been in contact with anyone who has tested positive for COVID-19 or who has displayed symptoms of COVID-19 in the last 14 days?

If you have answered "yes" to any of the above questions, please contact the studio for a credit at manager@lucentyoga.com and do not show up for class.

172 Norman Avenue Greenpoint, Brooklyn

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Covid-19 Screening

COVID-19 Screening and Contact Tracing

Lucent Yoga