top of page

Home
Community Clubs
After School Clubs
Insurance
Grading
The Team
Youtube
Online Learning Hub
Blog
Policies & Procedures
Glenavy Judo Academy
Glengormley Judo Academy
Lisburn Judo Academy
Ballymacrickett Judo Academy
Southeast Judo Academy
Park Lodge Judo Academy
More

Use tab to navigate through the menu items.

The Judo

Academy

HEALTH CHECK

Covid-19 Health Declaration

How are you feeling today?

First Name

Last Name

Email

I am not currently diagnosed or believe I have Covid-19

My body temperature is lower than 98.6°F/ 37.5°C

I am not experiencing the symptoms: fever, new or continuous cough, sore throat, loss or change to your sense of smell or taste, unexplained shortage of breath

I haven’t been in close contact with a Covid-19 patient in the last 14 days

Initials

Date

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

bottom of page