COVID Acknowledgement Form

Responses to this form will remain confidential. Form response is for the safety of you, others around you, and photographers/assistants.

Name *

Email Address *

Phone Number *

Shoot Date *

Do you have cold or flu symptoms like fever, chills, muscle pain, or sore throat? *

Do you have a NEW onset of cough or shortness of breath? *

Do you have a NEW onset of loss of taste of smell? *

Has it been less than 10 days since these symptoms began? *

Have you had close contact with someone diagnosed with COVID-19 in the past 14 days? *

Please acknowledge that if you answered yes to any of these questions that you must email/call ASAP. No fee will be charged for a reschedule if necessary. *

Submit

Thank you for your response! We are excited to see you today for your shoot.

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