Childrens / Youth session booking form

Please fill out the following health declaration form in order to participate in each session of children's or youth activities. Submissions are valid up to 24 hours prior to the activity.

We will hold this information in our secure database for at least 21 days to comply with NHS Test and Trace requirements.

First Name (parent)

Last Name (parent)

Is your child currently experiencing any flu-like symptoms, loss of taste or smell, or a new continuous cough?

Yes

You must not attend the group if you or your child develops any of the above symptoms, or if you are contacted after being in contact with someone with Covid-19 requesting you to self isolate.

Date of activity

Child's name

I confirm that the information given in this form is true

Thanks for registering. Please check your email for a confirmation message.

Does your child have a temperature?

Yes

Childrens / Youth session booking form

Please fill out the following health declaration form in order to participate in each session of children's or youth activities. Submissions are valid up to 24 hours prior to the activity.

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We will hold this information in our secure database for at least 21 days to comply with NHS Test and Trace requirements.