Covid-19 Health Declaration

How are you feeling today?

First Name

Last Name

Attending Gymnast's Full Name

Parent's Full Name

Martial Arts Participant's Full Name

Child's Full Name

2nd Child's Full Name

By checking this box, you are confirming that you and/or your child('s)

body temperature is lower than 98.6°F/ 37.5°C

are not experiencing the following symptoms: fever, cough, sore throat, the loss of smell or taste.

haven't been in close contact with a Covid-19 patient or somebody self isolating due to developing symptoms in the last 14 days.

I declare that the info I’ve provided is accurate & complete and I have read and understand the Data Protection and Covid-19 Privacy Notice.View Privacy Notice

Please note due to Covid-19, we are not permitting parents to view classes at the Vimy Way or Crayside centres at this time.

Date

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