3K1C
Newcastle
Scouts
Covid-19 Health Declaration
How are you feeling today?
First Name
Last Name
Section attending
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This person's body temperature is lower than 98.6°F/ 37.5°C
This person is not experiencing the symptoms: fever, cough, sore throat, shortness of breath, loss of sense of smell?
This person hasn’t been in close contact with a Covid-19 patient in the last 14 days
Parent/Guardian email
I declare that the info I’ve provided is accurate & complete
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