Please complete and signed to resume swimming activities.
Adults Name________________________________________________________________
Childs Name_______________________________________________________________
Membership number______________________________________________________
Sign only if you can confirm the following:
- You have not been in contact with anyone who has confirmed case of Covid-19 and/ or has CV Symptoms E.g. persistent cough, High fever, Breathlessness, in the last 14 days.
- You are in a healthy state and will be able to swim otherwise.
Sign_______________________________ Date________________________________
Please follow link below for a print out copy