declaration form PLEASE FILL OUT THE FORM and make the payment at least 3 days before the lesson

*Even though legal measures have changed, the risk of infection and therefore our risk assessment remain unchanged and procedures will stay the same.
You get the option on the form below to declare if you absolutely cannot wear a mask, in which case your teacher can make an informed decision whether to go ahead with the lesson.* 
READ OUR FULL POLICIES HERE

Step 4 Covid19 Declaration Form Lesson at Covid Safe Venue
  • I have read, understood and will follow all the venues instructions and their H&S:
  • I haven't had symptoms outlined in the policies in the last 10 days, tested positive,been contacted by Test&Trace or been a contact of a positive case:
  • I will contact Eximo immediately if I, someone I live with or a close contact, develop symptoms/tests positive after sending this form:
  • I have made a note of the procedures, items to take and am prepared for the lesson:
  • I have read and agree to the general T&C's:
  • Whilst risk has been assessed and mitigated as much as possible, there is still a risk of infection. I confirm I am happy to take this risk:
  • Check you have filled out all the asterisked boxes, otherwise you will receive an error message:
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