VRCMC Member Register:
* * * This register is to be completed after each visit to the club ! ! !

By submitting your details you confirm that the information provided is truthful and correct.
Email *
Name & Surname *
SAMAA Number (type NONE if you're a non-flying member) *
ID Number *
Physical Address *
Cellphone Number *
Date of Visit *
MM
/
DD
/
YYYY
Time In *
Time
:
Time Out *
Time
:
Temperature reading on arrival? *
Do you currently have any of the following symptoms? *
Yes
No
Fever > 37.5
Cough
Sore Throat
Redness In Your Eyes
Difficulty Breathing
Body Aches
Loss of Taste and/or Smell
Nausea or Vomiting
Diarrhea
Weakness / Tiredness
In the past 4 weeks have you returned from an international trip? *
In the past 4 weeks have you been in contact with a person who tested positive for Covid-19? *
A copy of your responses will be emailed to the address you provided.
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