COVID-19 Declaration Form
Completion of this form is a requirement for admission at Bladeworks Fencing Club.
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Attendee Name *
Email Address *
Are you currently experiencing COVID-19 symptoms? *
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Is anyone you live with currently experiencing any new COVID-19 symptoms and or waiting for test results after experiencing symptoms? *
In the last 14 days have you travelled outside of Canada? *
Has a healthcare provider told you that you should be isolating at home? *
In the last 14 days have you been identified as a close contact of someone who currently has COVID-19? *
In the last 10 days have you tested positive on a rapid antigen or home based testing kit? If a subsequent lab-based PCR was negative then please reply "No" *
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