Release and Sizing for 2020/2021 | modern-dance-studio

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CoVID Health Declaration

For 2020-2021 Dance Year

Please complete for your Dancer prior to attending dance this year

First Name

Last Name

Email

I understand that

I am not experiencing the symptoms: fever, cough, sore throat

I haven’t been in close contact with a Covid-19 patient in the last 14 days

Initials

Date

I declare that the info I’ve provided is accurate & complete

Add answer here

Thanks for submitting!

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