Covid-19 Screening for In-Person Class

As a team, the SHINE staff have decided to conduct Fitness Training sessions both online and in-person to include as many people as possible. All Participants can choose what they want to participate in, based on their level of comfort in the current circumstances.

THIS MUST BE FILLED OUT BEFORE EVERY IN-PERSON CLASS

Covid-19 Health Declaration

How are you feeling today?

First Name

Last Name

I have NOT had a new onset cough, sore throat, shortness of breath, fever (temperature of 37.8 C or higher), or chills (onset in the last 7 days)

I have not had any new symptom of a respiratory illness (onset in the past 7 days) including: a runny nose, sneezing, nasal congestion (not due to allergies), or, unexplained fatigue or malaise, or, nausea, diarrhoea, or, changes in my sense of taste/smell.

I haven’t been in close contact with a Covid-19 patient in the last 14 days or advised by Public Health to self-isolate

I agree to adhere to SHINE's Physical Distancing policy and remain in your assigned sqaure until directed to exit the building.View Physical Distancing Policy & Safety Procedures

Date

Initials

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

Covid-19 Health Declaration

Subscribe to our Weekly Newsletter!

No Payment Info Needed