Name(required) Address(required) Email(required) Phone Number Date of Birth(required) Have you previously tested positive for Covid-19?(required) Yes No If yes, please provide more information: Do you currently have any of the following conditions? Asthma Heart Disorder Hypertension Pregnancy Cancer Epilepsy Other If you ticked any of the above boxes please provide more details: Do not attend classes if you, anyone in your household or you have come in to close contact with someone who has symptoms of Covid-19 or are self isolating. We will share your details with NHS test and protect if necessary.(required) I agree Send