Daily Screening Questionnaire

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Only 1 questionnaire required per family!!!

PLEASE NOTIFY THE CLUB IF YOU HAVE A POSITIVE COVID-19 TEST RESULT WITHIN 48 HOURS OF BEING AT THE DOJO. Due to the nature of our sport, this information can help us reduce the spread!!

Please review the COVID protocols @ https://www.avonhurstjudo.com/covid-19-protocols

Email *

Todays Date *

YYYY

Last Name *

First name of each family member attending today *

Classes being attended *

Senior Judo Class

Weightlifting

Gatekeeper-Volunteer

Required

Does attending judoka have ANY symptoms of COVID-19? *

COVID-19 spreads easily. Don't take the chance of passing COVID-19 on... take a COVID-19 self-test regularly & stay home if you feel ill, even if symptoms are mild. Don't risk spreading it to your fellow judoka!!

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