COVID-19 Health Declaration | Ignite Dance Academy

IGNITE DANCE ACADEMY

Ignite your passion; burn up the dance floor!

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Covid-19 Health Declaration

How are you feeling today?

Parent Name

Student Name

Email

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

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

I haven’t been in close contact with a Covid-19 patient in the last 14 days as far as I am aware, nor have I travelled abroad within the last 14 days.

Which venue are you attending today?

St Joseph's Secondary School (Miss Zoe)

Parton Melody Bear (Miss Zoe)

Parton (Miss Sue)

Haig Pit (Miss Sue)

Initials

Date

I declare that the info I’ve provided is accurate & complete. I accept the terms and conditions.

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