North Berwick Walkercise
Weekly Check-In
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Tick each box to confirm agreement with the following statements:
*
I AM feeling physically well
I AM feeling emotionally well
I AM happy to attend today
I DO NOT have any Covid-19 symptoms today
NOBODY in my household has Covid-19 symptoms today
I UNDERSTAND the guidelines including social distancing, PPE and hand hygeine
I DO NOT have any concerns or issues within the group I wish to raise today
Submit
Should be Empty: