Mens Breakfast · 13 March 2021 · 8

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Mens Breakfast · 13 March 2021 · 8 - 11am

We are excited and looking forward to connecting over chow with you!
Please complete this form to book your seat.

** ONE REGISTRATION PER PERSON **

Email *

First Name *

Surname *

ID Number *

Mobile Number *

Please confirm the following: *

I do not have a fever

I do not have a sore throat

I do not have a dry cough

I am not experiencing shortness of breath

I do not have unexplained loss of smell or taste

I do not have diarrhea

I am not vomiting

Required

As far as I am aware, I have not recently been exposed to someone diagnosed with Covid-19, or had recent contact with someone who is self-isolating whilst waiting for a Covid-19 test result. *

Yes

Book a seat

This is making sure we have a maximum of 50 people attending. Individual chairs are not numbered. Couples may sit next to one another as well as siblings of the same household.

Please book a seat of your choice *

I agree to the following: I understand that if I'm over 60, have diabetes or high blood pressure, I am at high risk. I agree to wear a face mask at all times. I agree to sanitizing regulations and social distancing practices stipulated by the Health Department of South Africa. *

Yes

Required

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