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Covid-19 Health Declaration

How are you feeling today?

First Name

Last Name

Students Full Name

Mobile Number

Email

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

I am not experiencing the symptoms: fever, cough, sore throat

I haven’t been in contact with someone with Covid-19 or a venue which has reported a case in the last 14 days

I declare that the info I’ve provided is accurate and complete

Thank you for submitting!

CONTACT.

Call Ben on 0402 119 073

Or you can EMAIL us...

(for new enrolment enquiries)

(customer service)

Creative Director > Ben Stokes

Commotion Performing Arts Pty Ltd

2/12 Sedgwick Street Smeaton Grange NSW 2567

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