Due to the COVID-19 pandemic, Jess McShane Photography is implementing screening measures for all individuals present during a shoot. 

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Symptoms of COVID-19 include fever, runny nose, sore throat, difficulty breathing. NOTE: This list is not all-inclusive as COVID-19 has a wide range of unpredictable symptoms 

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I agree to the following: 

1. I understand the above symptoms and affirm that I, as well as all household members, do not currently have, nor have experienced the symptoms listed above or any other unusual or inexplicable health-related symptoms within the last 14 days. 

2. I affirm that I, as well as all household members, have not been diagnosed with COVID-19 within the past 30 days. 

3. I affirm that I, as well as all household members, have not knowingly been exposed to anyone diagnosed with COVID-19 within the past 14 days. 

4. I affirm that I, as well as all household members, have not travelled internationally within the past 14 days. 

5. I understand that Jess McShane cannot be held liable or responsible for any exposure to COVID-19 caused by misinformation on this form or the forms provided by all individuals present during the shoot. 

6. I understand that Jess McShane Photography has implemented a Health and Safety Policy with enhanced measures to help prevent the spread of COVID-19. I confirm that this Policy has been made available to me prior to the shoot and I understand my roles and responsibilities in complying with this Policy and helping to implement this Policy. 

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By completing this form, I agree to each statement above and release Jess McShane Photography from any and all liability or responsibility for exposure or harm due to COVID-19.