Beyond Move - Face to Face Consent Form - Covid-19We need you to complete this form prior to your face to face appointment. Name First Name Last Name Email Mobile This number may be used to contact you about your booked classes. 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 I am not in the clinically extremely vulnerable category and therefore advised to shield by the government. * Alternatively have had vaccination(s) Yes No I confirm, to the best of my knowledge, I have not been in close contact with anyone with confirmed COVID-19 without wearing appropriate PPE. * Yes No I understand that coronoavirus may not cause symptoms in some people and is currently causing a pandemic which means healthcare services are required to operate differently. * Yes No I confirm that I am aware of the requirements for social distancing, hand sanitizing, wearing a face covering - during session is not required - and for contactless payments, if able, when at the studio. * Yes No I understand that the teacher will wipe down all surfaces before and after my attendance and they will be wearing PPE as set out by health authorities. * Yes No I agree to attend a face to face appointment during the COVID-19 pandemic. * Yes No If you answered no to any of the questions above, please provide detail: Thank you!
