COVID Declaration

This form must be filled in prior to every session.

If any COVID symptoms change you must not arrive at the session.

All Government guidlines must also be followed and supercede these sessions.

Please tick the box to confirm you have read and agree to abide by the following club COVID details
You are confirming by submitting this form that you have read the document and also you can say no to the following questions:


Do you have any of the following symptoms ?

• A high temperature
• A new, continuous cough
• A loss of or change to your sense of smell or taste


Do You or someone you live with has any of the above Covid 19 symptoms ?

Have been contacted by the Test and Trace system to advise you that you must self-isolate ?

Have you been in close contact with someone who has become symptomatic (e.g. a work colleague etc) ?

If you have any of the above symptoms, you must self-isolate for 7 days, and if someone you live with has symptoms, then your household must self-isolate for 14 days as per NHS guidance.

Are you shielding ?

Please fill in the following details and submit the form:
Your Details

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    Thursday, 20:00 - 21:00 Book in with One Leisure but outside 2 lanes

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