COVID-19 Consent Form To be completed on the first visit to the studio, from 27th July 2020 Name First Last I confirm that I have not had any of the following symptoms in the last 14 days: fever, shortness of breath, loss of sense of taste or smell, dry cough, runny nose or sore throat.* Yes No I confirm that to the best of my knowledge, I have not been in close contact with anyone with confirmed COVID-19 in the last 14 days.* Yes No I confirm I am aware of the studio's requirement for social distancing in the studio.* Yes No I confirm that I have not returned from outside the UK in the last two weeks.* Yes No Consent By entering your name and submitting the form you are declaring that you have been screened for COVID-19, and are happy to be verbally screened on every visit to the studio.Date Date Format: MM slash DD slash YYYY PhoneThis field is for validation purposes and should be left unchanged.