Please complete this Health Screening Form no later than than 5pm the day before the Meet is due to take place.
The questions on this form are based on the information provided by the NHS.
All information provided is taken in confidence and will be deleted 21 days after the Meet has taken place.
Should you or another member of your household start to develop Coronavirus symptoms within 14 days of attending a GMOTFW meet, please inform Lucinda Terry on email@example.com
If you have answered yes to any of the questions above, unfortunately, you will not be able to attend the Meet.
You will receive a further confirmation email once this Health Screening Form is received. Please do not attend the Meet, until you have received this email.
If you have any questions, please send an email to firstname.lastname@example.org