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Westside Performing Arts COVID-19 Form
Should your situation change after you complete and submit this form, please inform Westside at your earliest convenience.
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1. Do you have symptoms of cough, fever, high temperature, sore throat, runny nose, breathlessness or flu like Symptoms now or in the past 14 days?
2. Have you been diagnosed with confirmed or suspected COVID-19 infection in the last 14 days?
3. Are you a close contact of a person who is a confirmed or suspected case of COVID-19 in the past 14 days (i.e less than 2 meters for more than 15 minutes altogether in 1 day)?
4. Have you been advised by a doctor to self-isolate at this time?
5. Do you understand that should you be coming from another training facility or gathering of people, you are responsible for limiting the spread of infection and therefore need to adhere to Westside COVID-19 procedures.
5A. Which include but are not limited to; changing clothes and practicing good hand and respiratory hygiene?
6. Have you travelled to any country outside of the The Island of Ireland in the last 14 days? Please provide details below if you answered YES
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IMPORTANT – Should your situation change after you complete and submit this form, please inform Westside at your earliest convenience.
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