COVID-19 Form | Katy Sportz Academy

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Covid-19 Health Declaration

How are you feeling today?

Participant First Name

Participant Last Name

Email

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

Initials

Date

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

Thanks for submitting!

Get In Touch

We'd love to hear from you

info@katysportzacademy.com

@katysportzacademy

Katy Sportz Academy

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