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COVID-19 Safety Plan

COVID-19 Safety Plan.pdf

Covid-19 Health Declaration

How are you feeling today?

First Name

Last Name

Email

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

I am not experiencing the symptoms: fever, cough, sore throat

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

FANTASFIT

CONTACT

111B - 4501 North Rd, Burnaby,

BC V3N 4J5, Canada

Tel: 778-898-8264

jae@fantasfit.ca

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