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 confirm, to the best of my knowledge that I have no symptoms of COVID-19, am not self-isolating or awaiting results of a COVID-19 test. Please note: The organisation is collecting this sensitive personal data for the purposes of maintaining safety within the workplace in light of the Covid-19 pandemic. The legal basis for collecting this data is based on vital public health interests and maintaining occupational health and will be held securely in line with our retention policy.
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