MOVE Academy Singapore - COVID-19 Declaration Form
Kindly complete the following before attending every physical class or programme at MOVE
Date *
MM
/
DD
/
YYYY
Full Name *
Contact Number *
Have you travelled overseas in the past 14 days? *
If "Yes", please adhere to your Stay Home Notice.
Have you been sick the past 14 days with any of these symptoms- runny nose, flu, cold, fever, cough? *
If "Yes", please go see a doctor and do not attend the class.
In the past 14 days, have you been in close contact with... *
Close contact is defined as: Being within 2m of a person for a prolonged period of time of at least 15 mins; close contact can occur while caring for, living with, visiting, or sharing a healthcare waiting area or an enclosed room with that person.
Declarations *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy