COVID-19 Screening Certification

COVID-19 Screening Certification

  • MM slash DD slash YYYY
    While at the Event I Will Maintain a Maximum of 6 Feet Of Separation From Any Other Individuals Not Within My Household
    I Understand That AgriLife Extension is Required To Have This Attestation In Order For Me To Attend Events Sponsored By Them And I Am Checking The Box Below To Confirm And Certify The Truth Of The Above.

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