LIVE COMMUNICATION COVID ENTRY FORM Please ensure that you have a mask Please ensure social distancing at all times Please sanitise your hands as often as possible Email Name & Surname * Cellphone * Email * Temperature * Temperature Date * Date DO you have any COVID symptoms? (Fever, Problems breathing, headache, body aches) * Yes No Any other signs of illness * Yes No If, yes describe Any travel to high risk areas for COVID? * Yes No Any travel to high risk areas for COVID? If yes, where If yes, where