Health Declaration | AJ Dance

top of page

Home
Book Online
About Us
- Teachers
Contact
Shop
Gallery
FAQ
Class Passes
Our Sponsor
Reserve A Place On Our Waiting List
Forum
Members
Loyalty Rewards
More

Use tab to navigate through the menu items.

Covid-19 Health Declaration

How are you feeling?

Student First Name

Student Last Name

Email

My body temperature is lower than 98.6°F/ 37.5°C

I am not experiencing the symptoms: fever, cough, sore throat

I haven’t been in close contact with a Covid-19 patient in the last 14 days

Parent / Guardian Initials

Date

I declare that the info I’ve provided is accurate & complete

Thanks for submitting! You MUST notify us immeadiately if you develop any symptoms of Covid-19.

© Copyright AJ DANCE PRODUCTIONS

call now!

bottom of page