Workshop COVID Declaration | Scarlettandco

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Covid-19 Health Declaration

Scarlett & Co- New Talent Workshop 2021

Child's Name

Parent Contact Number

I confirm my child is not experiencing any COVID-19 symptoms: fever, cough, sore throat

I confirm that to my knowledge my child has not been in close contact with someone with COVID-19 in the last 14 days

Initials

Date

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

Thanks for submitting!

© 2022

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