COVID-19 Health Declaration | Pilates

top of page

This site was designed with the

website builder. Create your website today.Start Now

Home
About
COVID Protocol
Classes & Rates
Calendar
Contact
More

Use tab to navigate through the menu items.

Follow me on

107379153_1354926948031109_6876385258109

Covid-19 Health Declaration

How are you feeling today?

First Name

Last Name

Email

My body temperature is lower than 37.5°C

I am not experiencing the symptoms: fever, cough, sore throat, loss of taste or smell

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 submitting!

© 2021 by iVolve Solutions

bottom of page