Consent Form COVID -19.

Please complete this form prior to your physical, in person class.

Question Title

* 1. I confirm that I have not had any covid symptoms (see the following) in the last 14 days: fever, shortness of breath, loss of sense of taste or smell, dry cough, runny nose or sore throat.

Question Title

* 2. I confirm that I am not in the clinically extremely vulnerable category and therefore advised to shield by the government.

Question Title

* 3. 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.

Question Title

* 4. I confirm that I am aware of the government requirements for social distancing, hand sanitising, wearing a face covering and for contactless payments etc. 

Question Title

* 5. I agree to attend a communal yoga class during the COVID-19 pandemic and am aware of my own personal responsibly in this environment. 

Question Title

* 6. I agree and acknowledge that I am fully aware that participation in this activity/ class may involve risks and I accept responsibility of all the risks participating.

Question Title

* 7. If you answered 'no' to any of the above questions, please specify here. 

Question Title

* 8. Please fill in the below information. 

T