Our Covid Waiver Form

Please complete this form 24 hours before each & every atttendance at the dance studio

The NHS states the main symptoms of coronavirus are:

  • a high temperature – this means you feel hot to touch on your chest or back (above 37.5)

  • a new, continuous cough – this means coughing a lot for more than an hour, or 3 or more coughing episodes in 24 hours (if you usually have a cough, it may be worse than usual)

  • a loss or change to your sense of smell or taste – this means you've noticed you cannot smell or taste anything, or things smell or taste different to normal


Most people with coronavirus have at least 1 of these symptoms.

Please indicate the Day & Date that you will be attending classes at the studio:

Please indicate whether you will be participating in Solo or No-switch partnerwork classes (or both) on the day of your visit:

Select an option

If you are attending partnerwork classes please enter the name of your dance partner (same household resident or someone from your Covid support bubble):

Please ensure your dance partner (if applicable) has also completed their Covid Waiver form before their attendance

Your content has been submitted

Your content has been submitted

Your content has been submitted

Further Information about this waiver

  • Personal details may have to be provided to the Vault and NI NHS in the event of a Covid19 outbreak for track & trace purposes – Your information will not be released without your permission unless under these circumstances

  • Should you present with Covid19 symptoms you should inform us immediately so that we can implement our emergency response protocols

  • Before entering the building we will take your temperature with a no-contact thermometer - anyone with a temperature over 37.5 will be refused entry

  • You will be asked to wear your mask throughout the building - only removing this once the class is ready to start - masks must be put back on at the end of the class

  • You will be asked to use the no-touch automatic alcohol rub dispensers upon entry to either dance space, and again after the class & before leaving the dance space (if you are allergic to these then you will need to supply your own anti-allergy hand sanitiser)