AkomaAsa Arts Covid Declaration
Registration Form for AkomaAsa Arts Covid Health Declaration
Class location: Stockwell Primary School, Stockwell Road, London SW9 9TG
January - April 2022

Coronavirus (COVID-19) is a highly contagious disease that can have severe effects on people, especially those who are vulnerable. The virus is likely to pass from person to person in communal areas and where it is not possible to maintain safe distances between persons. If a person is infected while working, it can be passed on through families and other contacts. You can spread the virus even if you don’t have symptoms.

AkomaAsa Performing Arts Academy has put in place enhanced health and safety measures for all employees and visitors. You must follow all posted instructions while attending the school. Help keep each other healthy and safe.

To comply with government guidance and best practice during the Coronavirus/COVID-19 pandemic, we respectfully ask that you do not enter the premises if you or any of your household:
     - feel unwell or have shown symptoms of Coronavirus within the past 14 days;
     or
     - are currently in self-quarantine.

If you do not provide the information required to complete this form, we reserve the right to deny you entry to the premises.

If you have any questions when completing this form, please email info@akomaasa.com for further guidance.

Anyone coming to classes must complete this Declaration of Health form prior to arrival and inform us during the week if you are unable to join due any of the questions asked.

If a person displays any symptoms of COVID-19, they will not be allowed to take part in the classes.

Please make sure that this form is filled in on Friday 14th January (NOT EARLIER) Should your child enrol thereafter, on each subsequent week, you are required to declare to best of your knowledge that your child is symptom free and any child that is 11+ will need to up load their negative lateral flow test to the academy what's app group.
Thank you in advance for your co-operation.


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Full Name *
Child's Full Name (if applicable)
Child's Full Name (If applicable)
Child's Full Name (If applicable)
Email Address *
I or any of the children listed above confirm that within the last 10 days, I (or a member of my family, someone I live or work with) have not been unwell or showed any COVID -19 symptoms listed in the link below: https://www.nhs.uk/conditions/coronavirus-covid-19/symptoms  *
I confirm that to the best of my knowledge, the above information is true and correct *
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