WELCOME

2349 15th Avenue

Open House Sign-In Form

Name

Please enter your full name

Phone Number

Are you working with an agent?

Yes

If yes, please provide with your Agent's name:

I AGREE to follow Broker's Prevention Plan, which can be provided by the Listing Agent.

I AGREE to the Posted Rules For Entry, including (i) Washing your hands or using hand sanitizer: (ii) Wearing a protective face covering, and (iii) Practicing social distancing between households as required by federal, state, or local laws.

To the best of your knowledge, you are not currently afflicted with, and have not knowingly, within the last 10 days, been in contact with someone afflicted with, COVID-19.

You are not experiencing a fever or signs of respiratory illness such as cough, shortness of breath or difficulty breathing, or other COVID-19 Symptoms.

You will inform Broker if, after the date you enter, there is a change in your health condition or knowledge that potentially puts others at risk.