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COVID Vaccine Attestation

By entering your name and hitting the SUBMIT button, you are attesting to the following:

I, and everyone from my household entering with me who are eligible, are fully vaccinated (greater than 2 weeks after final dose) with one of the FDA-approved COVID19 vaccines (Moderna, Pfizer, or J&J).

Please provide your email address so that we can provide you with a confirmation email indicating that you submitted this form.  You will, then, have the email on your phone or you may print it out and carry it with you when you enter the CBE building.
Mon, October 25 2021 19 Cheshvan 5782