Aidan Keeble Sports Therapy COVID Declaration
Email address *
Name *
Have you tested positive for COVID 19 within the past 14 days? *
Have you had any symptoms of COVID 19 within the last 14 days? (Symptoms include; a new dry continuous cough, a fever, loss of taste or smell) *
Have you been in contact with anyone who has either tested positive for COVID 19 or has exhibited symptoms of COVID 19 within the last 14 days? *
Have you been away somewhere which requires you to quarantine upon arrival back in the UK, within the last 14 days? *
I can confirm that I have answered the previous questions truthfully and to the best of my knowledge *
Please initial below, to confirm your declaration *
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