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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 bring your confirmation email with you, either on your phone or printed out, when you come into the building.

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.
Fri, April 26 2024 18 Nisan 5784