Canbelto Covid Form

Canbelto Covid Form

For Canbeltos to complete ahead of each outdoor rehearsal
MM slash DD slash YYYY
Do you have symptoms of cough, fever, high temperature, sore throat, runny nose, breathlessness or flu-like symptoms now or in the past 10 days?(Required)
Have you been diagnosed with/a close contact of a person diagnosed with a confirmed or suspected COVID-19 infection in the last 10 days?(Required)
Have you been advised by a doctor that you should self-isolate at this time?(Required)
Have you been advised by a doctor that you are in the very high risk group?(Required)
Consent(Required)