Par-Q: Walk And Talk For Lilywhites

Walk And Talk 4 Lilywhites Par-Q

Full Name

Full Address

Date of Birth

Email Address

Contact Number

Do you have any disabilities or medical conditions? Yes No

Emergency Contact Name

Emergency Contact Number

As you will be aware, as a result of the Covid-19 pandemic, we will be conducting routine screening of new health symptoms in all staff and external visitors. This is to protect the health and safety of both yourself and others.

You will be required to fill in another Covid-19 screening questionnaire upon arrival at your chosen walking football session.

In the last seven days, have you experienced any Covid-19 symptoms?

From time to time we would like to send you marketing information about our courses, offers, products and services. If you agree to be contacted in this way, please select your preferences below. There is no requirement to select any of the methods listed. Phone Email Text Post

Walk And Talk 4 Lilywhites Par-Q

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