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Medical Questionnaire

Please fill out one form per child

If you answered “YES” to any of the above questions or symptoms: Access to the pool is DENIED
The UK Govenrment advises that you must self isolate for 14 days to help limit the spread of germs. 
If you have tested positive to COVID-19 you must advise us immediately

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)
 

07747 867 901

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