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Dancepointe Academy - KEC COVID-19 Declaration Form
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* Indicates required question
Your Full Name
*
Your answer
Contact number
*
Your answer
Your Child(ren) / Grandchild(ren)'s Name if applicable
*
Your answer
Please indicate if you / your child(ren) / grandchild(ren):
currently have fever/ cough/ runny nose/ sore throat /shortness of breath
have returned from Iran, Mainland China, Italy, South Korea in the last 14 days
been in close contact with any confirmed cases(s) of COVID -19 in the last 14 days
Branch
*
Choose
ARC (Alexandra Road)
Bishan Community Center
Buangkok Square Mall
Downtown East
Hillion Mall (Bukit Panjang)
HometeamNS (Khatib)
Jcube
Jurong West Sport & Recreation Center
Oasis Terrace ( Punggol)
Taman Jurong Shopping Center
Sun Plaza (Sembawang)
Safra Jurong
Yio Chu Kang - Seletar Hills
*
*
i hereby declare that i have answered the above questions truthfully and to the best of my knowledge
Required
*
*
i agree to inform the management of Dancepointe Academy & KEC if myself &/or my child(ren) &/or grandchild(ren) is issued with Leave of Absence /Home Stay Notice/ Quarrantine Order by MOH
Required
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