JHKA COVID 19 - DISCLAIMER
Step 1 of 2: Submit
A new disclaimer must be completed for each face to face lesson or event
Students Full Name
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Students Full Name (2) - Brother or Sister?
Parents Full Name (Completing this form)
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Parents Contact Number (Mobile)
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Parents Contact Address
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Facility Name or Club event will be held
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Select an option:
Enfield Dojo
Collier Row Dojo
Chingford Dojo
Chigwell Dojo
Forza Dojo (Rayleigh)
Frontier Karate Association
What is the date today? This disclaimer will be valid for 48 hours only.
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The safety of our instructors, students, customers, families and visitors remain JHKA’s primary priority. To enable us to allow classes on-site, we now require all students to provide responses to the below questions, prior to being permitted entry into these facilities/grounds and take a karate class or grading.
Self-Declaration by Parent and/or Student
Have you travelled to or from China, Italy, South Korea, Iran, Spain, Russia, USA or Japan in the past 14 days?
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Select an option:
Yes
No
Have you been in close contact with anyone who has travelled within the last 14 days to the countries listed above?
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Select an option:
Yes
No
Have you had any close contact with or cared for someone diagnosed with COVID-19 within the last 14 days?
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Select an option:
Yes
No
Have you experienced any cold or flu-like symptoms in the last 14 days (including, but not limited to fever, cough, sore throat, respiratory illness, difficulty breathing)?
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Select an option:
Yes
No
If the answer is YES to any of the above questions, please email your chief instructor to discuss further.
Please submit this form prior to arriving to the karate lesson/grading in order to not delay or prevent your entry to our site location.
In order to maintain the correct social distancing guidelines, parents will only be allowed to drop off and collect without entering on site
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Select an option:
I accept
Students must arrive fully dressed in gi as there will be no changing facilities open
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Select an option:
I accept
Please ensure students are wearing trainers or karate shoes at all times
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Select an option:
I accept
Please remind your children that the sharing of any drinks, snacks or belongings is not allowed.
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Select an option:
I accept
When arriving to collect your children, please form a queue maintaining to a 2 metre distance from other parents.
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Select an option:
I accept
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