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Th3LinkUp, Inc.
"For The Culture"
0
**Please complete the Health Declaration form before booking us online**
Di Lan "Fitch" Knights, CEO
Health Declaration
**required
All clientele must fill out the following health declaration form in order to book us for service.
Health and safety are especially paramount while COVID persists.
First Name
Last Name
Email
My body temperature is lower than 98.6°F/ 37.5°C
Are you experiencing any flu symptoms?
No
Yes
Vaccinated?
No
Yes
Date
Initials
By checking this, you are confirmimg that the infomation above is accurate according to your knowledge. Th3LinkUp, LLC. reserves the right to be booked based on response.
Submit
please
be
safe!!
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