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Declaration Form
Student Name
Parent Contact Number
Lesson Date
Lesson Time
Which studio is the student entering?
Select studio
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Have the student traveled abroad (i.e. to any countries outside of Singapore) in the past 14 days?
Yes
No
Does the student have flu-like symptoms (e.g. fever, cough, runny nose, sore throat or loss of taste / smell, etc.)?
Yes
No
Did the student, in the past 14 days, come in close contact with someone who (i) Is a confirmed COVID-19 case; OR (ii) Is part of a COVID-19 cluster
Yes
No
Submit
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