Aikido Class Log Book
Important: All students/instructors must scan & show the submission page of this form BEFORE entering dojo.
Student Name *
Phone No. *
Dojo *
Junior = children class; Regular = adult class
Temperature (°C) *
Do you have ANY the following symptoms? Fever, dry cough, shortness of breath, coughing up mucus or blood, runny nose, fatigue, muscle pain, headache and/or diarrhea. *
If you do, please take a rest at home and attend online/replacement class later.
Have you been in contact with a confirmed/suspect COVID-19 case in the last 14 days? *
If you have, please take a rest at home and attend online/replacement class later.
Important Notice: If you intend to select Yes on any of the questions above or are >= 37.5°C, please take a rest at home and attend online/replacement class later. Thank you for taking care of our Aikido community.
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