COVID-19 RISK OF TRANSMISSION FORM
Due to the current situation, we just need to make sure that you/your child are symptom free and are happy to attend an outdoor session with Movement Evolution Scotland CIC.  Please complete the form below for each person attending the session.  This should be completed no more than 48 hours before attending your session.
Sign in to Google to save your progress. Learn more
Email *
Attendees First Name *
Attendees Last Name *
Name of Parent or Guardian completing the form if attendee is under the age of 16:
The attendee has not been symptomatic for the past 14 days: *
The attendee has not been contacted by track and trace or been told to self isolate during the last 14 days. *
The attendee has not been in contact with anyone who has symptoms or who has been told to self isolate during the last 14 days: *
Whilst we have taken every precaution to limit your risk of exposure, we cannot guarantee there is no risk to you/your child whilst attending the session. As such Movement Evolution Scotland CIC cannot accept responsibility for transmission of Coronavirus (COVID-19) should the attendee become infected. *
Required
I have answered all the questions to the best of my knowledge and understand that should I have any further questions I can contact Movement Evolution Scotland CIC by email hello@movementevolution.org : *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Movement Evolution Scotland CIC. Report Abuse