Health Declaration

Confirmation that I am fit to participate:

Participants answering ,,Yes" to any of the questions should not travel to club and will need to contact the Club for more advice before returning to club. This form is only valid for the date that it is completed. A separate form must be completed each day of participation in club session.

Knightsbridge

St Columba's Church of Scotland

London, SW1X 0BD

Pont Street

Hampstead

The Village Prep School Hampstead, 2 Parkhill Rd

London, NW3 2YN

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