UCL Jazz Society Track and Trace

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Please fill out this form on the day of the event you are attending, so that we have your details for the NHS Track and Trace system.

Please complete this form on the day of your event only.

For checking symptoms of COVID-19, please visit: https://tinyurl.com/yamja5m8

Full Name *

Phone number *

UCL email address *

What activity are you attending? *

Choir rehearsal

The Jam

Big Band rehearsal

Rehearsal for Gig

Institute of Education Gig

External Gig

Social Event

Other

If you selected 'Other', please specify what event you attended.

What date will the event occur? *

YYYY

Please confirm that you have not exhibited symptoms for COVID-19 in the last 14 days *

If you have shown symptoms of COVID-19 then you should not come to the event and must self isolate in line with government guidelines. More info at : https://tinyurl.com/y6aa98ne

I confirm I have not shown covid symptoms in the last 14 days

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