Pre-Entry Visitor Covid-19 Self Screening

*All fields are required*


In the last 14 Days have you:

 
 
 
 
 
 

The undersigned agrees that, in entering the facilities of AV Gauge & Fixture Inc., does so entirely at own risk and hereby releases AV Gauge and its staff from any and all claims associated with the use of the facilities, particularly with respect to potential exposure to any virus or pathogen including Covid-19.


 

 
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