At this time, everyone entering must be fully vaccinated. Please complete a separate form for each person and include the date each person was fully vaccinated.
 

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Please complete a separate form for each person attending and include the date each person was fully vaccinated.
 

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By registering to attend, you acknowledge the significant risks associated with COVID-19 and that Or Zarua is making diligent efforts and taking reasonable precautions to mitigate those risks within its building. You understand that, despite its diligent efforts, Or Zarua cannot guarantee the health of anyone attending services or programs in its building.