With respect to COVID-19, I affirm for myself and any others I have registered for this  BHA event  (together, “We” “Us” or “Our”) that: 

1. None or Us and no one in Our household has been diagnosed with COVID-19 within the past 14 days
2. None of Us has, or within the past 14 days has had, any COVID-19 symptoms such as fever, coughing, shortness of breath, sore throat, or new loss of the sense of taste or smell
3. None of Us has knowingly been exposed within the past 14 days to someone with COVID-19
4. None of Us has traveled in the past 14 days to states or countries for which there are NYS or federal COVID-19 travel advisories