Covid-19 Health Declaration

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How are you feeling today? Please declare your readiness to take part in class.

First Name

Last Name

Email

My body temperature is lower than 98.6°F/ 37.5°C

I am not experiencing any symptoms e.g. fever, persistent cough, sore throat, loss of senses

I haven’t been in close contact with a Covid-19 patient in the last 14 days

Initials

Date

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

Thank you for your time!