Contact info and symptom check
Information you provide here will only be used in order for Joint Adventures to comply with government guidelines on Covid -19. We will only keep this information for 21 days.
Full Name
*
First Name
Last Name
Phone number
*
Date of your activity
*
-
Day
-
Month
Year
Date
Hour Minutes
In the last 7 days have you or anyone you live with had a high temperature?
*
Yes
No
In the last 7 days have you or anyone you live with had a new continuous cough?
*
Yes
No
In the last 7 days have you or anyone you live with had al loss of or a change in your sense of taste or smell?
Yes
No
Submit
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