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Covid Questionnaire

Please fill out one form per child

Which day does you child swim?
Have you or anyone you have knowingly been in contact with, returned from overseas in the last 14 days? Yes No
In the last 14 days have you or your child been exposed to someone with COVID-19 or flu like symptoms
Do you or your child have any of the following symptoms? (please tick all that apply)

Thanks for submitting!