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Aikido Class Log Book
Important: All students/instructors must scan & show the submission page of this form BEFORE entering dojo.
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* Indicates required question
Student Name
*
Your answer
Phone No.
*
Your answer
Dojo
*
Junior = children class; Regular = adult class
AKD PGD Bayan Lepas - Junior
AKD PGD Bayan Lepas - Regular
AKD PGD Bukit Mertajam - Junior
AKD PGD Bukit Mertajam - Regular
AKD PGD George Town Cantonment - Junior
AKD PGD George Town Cantonment - Regular
AKD PGD George Town Barnett - Junior
AKD PGD George Town Barnett - Regular
AKD PGD Perai - Junior
AKD PGD Perai - Regular
Temperature (°C)
*
Your answer
Do you have ANY the following symptoms? Fever, dry cough, shortness of breath, coughing up mucus or blood, runny nose, fatigue, muscle pain, headache and/or diarrhea.
*
If you do, please take a rest at home and attend online/replacement class later.
No
Have you been in contact with a confirmed/suspect COVID-19 case in the last 14 days?
*
If you have, please take a rest at home and attend online/replacement class later.
No
Important Notice: If you intend to select Yes on any of the questions above or are >= 37.5°C, please take a rest at home and attend online/replacement class later. Thank you for taking care of our Aikido community.
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