Health Questionaire | fight-club-academy

top of page

Krav Maga Technique

Home
News
Gallery
Videos
Contact Us
New Link
Members
Book Online

Use tab to navigate through the menu items.

Covid-19 Health Declaration

This form MUST be completed in full before attending every class!

First Name

Last Name

Email

Phone

My body temperature is lower than 98.6°F/ 37.5°C

I am NOT experiencing any symptoms of Covid-19If you are unsure please click on this link for a list of symptoms

I have not been in close contact with anyone displaying symptoms of Covid-19 to the best of my knowledge in the last 14 days

Initials

Date

I declare that the info I’ve provided is 100% accurate to the best of my knowledge

Thanks for submitting!

2024 © FCA Martial Arts

bottom of page