COVID-19-Assertion-Form

COVID-19 Protocol Agreement Form

Before coming to music classes or lessons, let us know that you have read the protocol and agree to implement it.

Assertions: Click on each one

I have read the COVID-19 protocol carefully I agree to implement the protocol The protocol helps keep me safe The protocol helps me to keep others safe

Name of student

I am

Under 18 Over 18

Name of parent who has read and discussed the protocol with you

Email

3 + 3 =

2 4 6 8

This proves you are human!