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Wensum Sports Centre Test + Trace
If you don't have the NHS Test and Trace App on your phone, please fill out your details below before entering the facility.
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Full Name
*
Your answer
Name of lead booker
*
Your answer
Date and time of entry
*
Please note date is entered month, day, year e.g. 09/28/2020
MM
/
DD
/
YYYY
Time
:
AM
PM
Contact email or phone number
*
Your answer
*
I do not and have not had symptoms of COVID 19 within the past 14 days (or have been tested negative)
I have not been in contact with anyone showing symptoms withing the past 14 days
Required
By entering the facility, I hereby declare that the information I provided on this form is accurate to the best of my knowledge. (Sign and date)
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