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2. Community History Project
   We invite you to contribute to a community-wide record of your experiences during COVID-19. All ages are welcome to participate in this effort. We have included some prompts to help you get started. Feel free to use these prompts or respond in any way you like. We encourage your creativity. Thank you for participating.
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6. Disclaimer
   Submissions must be your own original creation. Please do not include phone numbers, e-mail addresses, or other personal information with your submission. By submitting your work, you grant the Library the continuing right to use, retain, or transfer the property in such manner as the Library sees fit. The Library reserves the right to accept or reject the submission.
8. Would you like to remain anonymous?

   1. Yes
   2. No
10. Name (last name not required)*
12. Age
14. How did you learn about the virus? What was your reaction?
16. Did your daily routine change? How was your school or job affected?
18. What emotions have you felt? What are some of the challenges you have faced?
20. What are you most looking forward to? How have you passed the time?
22. Free space! Share experiences not covered by the previous questions.
24. Upload an image (photo, drawing, or painting).
Leave This Blank:


26. 1. Receive an email copy of this form.
27. Email address

    This field is not part of the form submission.

28. Submit

* indicates a required field