test SHSCCheckInOut2020 Name * Anello, Kathleen Anello, Maggie Anello, Olivia Anello, Steve Angeles, Connor Angeles, Corinne Angeles, Matthew Angeles, Owen Armenti, Jack Armenti, Jason Armenti, Kimberly Armenti, Sienna Bashir, Jill Bashir, Shabbir Bashir, Ty Bashir, Zakaria Baxter, Alexandra Baxter, Brady Baxter, Christy Baxter, Diana Baxter, Duke Baxter, Jason Baxter, Jason Bruce (JB) Baxter, Kiley Baxter, Macey Baxter, Madelyn Baxter, Matthew Baxter, Michelle Baxter, Renee Baxter, Tyler Bittman, Carol Bittman, Francesca Gencarelli Bittman, George Bittman, Grace Bittman, Steven Blomquist, Aimee Lyons Blomquist, Anna Blomquist, Ed Blomquist, Lila Blomquist, Vivienne Brady, Anthony Brady, Bill Brady, Dawn Brady, Sabrina Brady, Sean Caterinicchia, Linda Caterinicchia, Peter Caterinicchia, Peter Jr. Caterinicchia, Robert Childs, Andrew Childs, Christine LeRiche Childs, Nick Childs, William Confessore, Antoinette Confessore, Mike Cooke, Carol Cooke, Christian Cooke, Peter Cooke, Ryan Cozine, Jaime Cozine, Joey Cozine, Joseph Cozine, Julia DeJesus, Ava DeJesus, Deb DeJesus, Hector DeJesus, Julia Delacruz, Barbara Delacruz, Braden Griffith Delacruz, Jocelyn Griffith Delacruz, Vince DiMeo, Enzo DiMeo, Gabriele DiMeo, Karen DiMeo, Luciano DiMeo, Rowan Donahue, Colleen Donahue, Katie Donahue, Kevin Donahue, Maura Donahue, Tim Emma, Andrea Emma, Olivia Emma, Ron Emma, Samantha Engler, Susan Engler, Todd Fakhry, Bilal Fakhry, Eman Ahmed Fakhry, Fareed Fakhry, Safaa Fakhry, Tammer Flakker/Jehle, Benjamin Flakker/Jehle, Cadence Flakker/Jehle, Elizabeth Flakker/Jehle, James Flakker/Jehle, Lucas Fleming, Jeremiah Fleming, Laura Fleming, Margaret Fleming, Ryan Gagliano, Frank Gagliano, Jonathan Gagliano, Meggan Gagliano, Michael Galasso, Joanne Galasso, John Gaunt, Dave Gaunt, Michael Gaunt, Natalie Gaunt, Simone Giurlando, Adam Giurlando, Erica Giurlando, Michelle Giurlando, Nicole Giurlando, Rob Goldberg, Ainsley Goldberg, Eric Goldberg, Kennedy Goldberg, Liam Goldberg, Robyn Greco, Hailey Greco, Patricia Grieco, Billy Grieco, Lila Grieco, Reece Guadagno, Amy King Guadagno, Marco Guadagno, Sofia Guadagno, Vince Gvozdenovic, Ivana Gvozdenovic, Marko Gvozdenovic, Nikola Gvozdenovic, Panto Gvozdenovic, Zeljko Hoeffner, Emsley Hoeffner, Faith Hoeffner, Patricia Hoeffner, Stephen Horch, Brian Horch, Ed Horch, Eileen Horch, Margaret Howard, Avery Howard, Corey Howard, Jack Hurlbut, David Hurlbut, Jack Hurlbut, Justin Hurlbut, Kristine Hurlbut, Sarah James, Donn James, Logan James, Mia James, Rayna Kaiser, Cayleigh Kaiser, Chris Kaiser, Courtney Kaiser, Maureen Kapka, Adrian Kapka, Anna Kapka, Lillian Kapka, Marcin Kapka, Teresa Knapp, Caroline Knapp, Colin Knapp, Kori Knapp, Quinn Knapp, Tom Koroneos, Christine Koroneos, JD Koroneos, Nikitas Koroneos, Sophia Korsun, Alex Korsun, Keith Korsun, Lily Korsun, Nancy Larosa, Dominick Larosa, Dominick B. Larosa, Giovanna Larosa, Victoria Lavender, Jennifer Lavender, Justin Lavender, Max Lavender, Stephen Lavender, William Lyons, Brett Lyons, Kristy Lyons, Parker Lyons, William Lyons, Zachary Maccaro, Al Maccaro, Eric Maccaro, Tema Meyer, Daniel Meyer, Jennifer Meyer, Jim Meyer, William Mortimer, Sunnie Moy, Jennifer Moy, Nolan Moy, Ryan Moy, Shane Musser, Nancy Musser, Rick Muti, Jane Muti, Kate Muti, Mike Muti, Owen Newsome, Joe Newsome, Karley Newsome, Kenneth Newsome, Laurie Newsome, Mary Beth Newsome, Nicolette Newsome, Sienna Newsome, Stacy Nolan, Chris Nolan, Liam Nolan, Nicole Nolan, Quinn Ogden, Brian Ogden, Linda Ogden, Marin Oliver, Jamie Oliver, Jon Oliver, Theresa Ouda, Kim Ouda, Peter Pinto, Arianna Pinto, Cameron Pinto, Elaine Pinto, Rui Pinto, Tristan Prang/Bracken, Cheryl Prang Prang/Bracken, Evan Bracken Prang/Bracken, Ryder Bracken Ribeiro, Charlotte Ribeiro, Erika Ribeiro, Hugo Ribeiro, Rebecca Robe, Carol Robe, Thomas Romanak, Corey Romanak, Ethan Romanak, Jaime Romanak, Riley Russo, Deborah Russo, Mark Russo, Natalie Russo, Steven Schweigardt, Max Schweighardt, Betty Schweighardt, Jim Schweighardt, Lily Schweighardt, Max Schweighardt, Nikki Senzon, Craig Senzon, Elliana Grenker Senzon, Julia Senzon, Leo Grenker Senzon, Rachelle Senzon, Sam Sicat, Alexandra Sicat, Jeff Sicat, Joseph Sicat, Ryan Sicat, Tammy Six/Shoaf/Kopp, Brian Six/Shoaf/Kopp, Carla Six/Shoaf/Kopp, Emma Six/Shoaf/Kopp, Michelle Six/Shoaf/Kopp, Oliver Tamedl, Alison Tamedl, Jennifer Tamedl, Lillian Terraciano, Helen Terraciano, John Terraciano, Michael Terraciano, Rachel Terraciano, Robert Terraciano, Susan Thiry, Damon Thiry, Natalie Thiry, Selena Thiry, Trent Vela, Angela Vella, Carmine Vella, Gabriel Vella, Raymond Vella, Raymond Jr. Vella, Victoria West, Aidan West, Jason West, Sandrine West, Talia White, Abigail White, Sophia White, Sophie Yacykewych, Jacob Yacykewych, Kimberly Yacykewych, Matthew Yacykewych, Nicholas Yacykewych, Stephen Young, Bonnie Young, Greg Young, Jasmine Young, Kevin Zarro, Aidan Kraly Zarro, Amelia Zarro, Anthony Zarro, Beckett Zarro, Lauren Zarro, Matthew Kraly Check In / Out * Check In Check Out Are you bringing a guest to the facility today? * Yes No If yes, please provide the name of Guest 1 If yes, please provide the name of Guest 2 Are you a non-member using the facility as a caregiver for children that are members? * Yes No (I am a member) If yes, please provide your full name Have you traveled out of state since June 1, 2020? * Yes No If yes, please list all U.S. states you have been to during that time. Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming COVID-19 Declaration * I declare that neither I nor my family have any fever or symptoms of the virus. If you are human, leave this field blank. Submit Tweet