Please find below Spin City Bristol safety statement with regards to Covid-19. Please sign to say that each time you attend the studio, you agree to the following. To the best of my knowledge, I:

Full Name*
Mobile Number*
Have not shown any symptoms of Covid-19 in the past 14 days. According to the NHS and Gov.UK, below are the main symptoms: High temperature New, continuous cough Loss or change to your sense of smell or taste*	Correct, I have not shown any symptoms in the last 14 days Incorrect, I have shown symptoms
Have not been in contact with anyone who has tested positive for Covid-19 or shown any of the above symptoms in the past 14 days.*	Correct, I have NOT been in contact Incorrect, I have been in contact
I am following all legal requirements and Government recommendations valid for my area at all times.*	Correct Incorrect
Understand I could be a carrier of Covid-19 and be asymptomatic*	Correct Incorrect
Understand that I could contract Covid-19 from an asymptomatic person at our studio or from a contaminated surface at our studio*	Correct Incorrect
Am fully aware of the studio’s safety procedures (posted on our studio wall) to prevent the spread of Covid-19 and will follow these procedures*	Correct, I am aware I will make myself aware Incorrect, I am not aware
Agree to inform the studio/school immediately if I have developed symptoms within a two week period of being in the studio, or if I have learned that I have been in direct contact with someone who has later tested positive for Covid-19 within the same two week period or travelled in the last 14 days to a Covid-19 risk area*	Agree Disagree
Agree to inform the studio of any allergies that I may have to cleaning products, PPE or similar that may be used at this time and may adversely affect my health*	Agree Disagree
Agree that my data provided on this form can be used to contact me if I have been in a class with a person that has developed symptoms or has been in direct contact with somebody who has later tested positive for Covid-19*	Agree Disagree
Understand that if I wilfully and intentionally violate the stated hygiene policy and social distancing policy in our studio, the studio has the right to immediately remove me from class and suspend me from attending any future classes, without a refund*	Agree Disagree
Agree to inform the studio immediately if I learn that any of the above information changes or I obtain new information*	Agree Disagree
Your Covid-19 Experience
Have you had Covid-19?*	Yes No Unsure
If you answered yes to the above question, when?
If you said yes to having had Covid, have you experienced what you consider to be any signs or symptoms of Long-Covid?
If not, have you noticed any changes to your normal level of energy, physical activity or exercise that has been altered or seems to be worsened since your exposure to the virus?
Have you received a vaccine?*	Yes No
If you answered yes to the above question, when did you receive the vaccine and how many doses have you received?

Your Covid-19 Experience