Date Date Format: MM slash DD slash YYYY Name First Last Name(s) of any additional people in your groupPhoneEmail Consent* Verify Lack of Known COVID19 SymptomsBy signing this, I verify that I do not/am not currently experiencing any of the following symptoms and do not know to be sick: Fever Chills Cough Shortness of Breath Fatigue Muscle/Body Aches Headache New loss of taste or smell Sore throat Congestion/runny nose Nausea/Vomiting Diarrhea Been in contact with a COVID+ person in the last 14 days If you are a visitor entering Massachusetts, including returning residents, you are advised to quarantine for 10 days upon your arrival. Travelers in the following categories are exempt from this quarantine advisory: • Travelers who have received a negative COVID-19 result on a test administered not more than 72 hours prior to their arrival in Massachusetts. Travelers may also test out of the quarantine advisory after arrival in Massachusetts, as long as they quarantine until receiving a negative test result. • Anyone who is entering Massachusetts for fewer than 24 hours • Anyone who is returning to Massachusetts after being out of the State for fewer than 24 hours • Travelers who are fully vaccinated (i.e. who have received two doses of either the Moderna or Pfizer COVID-19 vaccines OR who have received a single dose of the Johnson & Johnson vaccine, 14 days or more ago) and who do not have symptoms. Please initial to acknowledge your consent.*Would you like to be added to PAAM's email list to hear about upcoming events and exhibitions? Yes No PAAM will not sell or share your information.