COVID-19 Sign In | barefootyoga

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Covid-19 Health Declaration

How are you feeling today?

First Name

Last Name

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My body temperature is lower than 98.6°F/ 37.5°C

I am not experiencing the symptoms: fever, cough, sore throat

I haven’t been in close contact with a Covid-19 patient in the last 14 days

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Date

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I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

Melbourne Studio:

26 Advantage Rd, Highett VIC 3190, Australia

Byron School:

Beachcomber Drive, Byron Bay, 2481, NSW

0422 871 355

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