DUBLIN TOMIKI AIKIDO

COVID-19 Pre-registration form

Guardians should fill in this form on behalf of minors
Please enter your data

COVID-19 Declaration

Have you had any of the following symptoms in the past 48 hours?
Sudden loss of smell or taste?
Sudden loss of energy?
Difficulty Breathing/Shortness of breath?
Heavy Cold or Flu-like symptoms?
Temperature greater than 37.5C?
Coughing?
Diarrhoea?
Has any household member had or is awaiting a test for Covid-19?
Have you been in contact with a confirmed case of Covid-19 in the past 14 days?
Have you returned from travelling in the last 14 Days?






SORRY. YOU CANNOT ATTEND!

NB: If you have any COVID-19 symptoms please notify your local medical practitioner immediately and self-isolate for 14 days