Sole To Soul Dance Studio Petaling Jaya (PJ) Malaysia

Dance Studio, School, Academy, Class, Lessons, Discount, Petaling Jaya, PJ, Selangor, Malaysia, Classical Ballet, Academic RAD Ballet Programs, Hip Hop, Urban, New School, Lyrical, Contemporary, Bollywood, Kpop, Street Jazz, Belly Dance, Yoga, Breakdance, Cultural Dance, Locking, Popping, Salsa, Bachata, West Coast Swing, Workshops, Corporate Programs, Wedding Services, Studio Rental

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COVID FORM

Covid Declaration
To prevent the spread of novel coronavirus (Covid-19) in our community and reduce the risk of exposure to our staff and visitors, we require you to complete this screening questionnaire prior to entering Sole To Soul Dance Studio premises. If you need further assistance or would like to speak to us directly, WhatsApp us at 012-222 3700.

Full Name :

Nationality :

Gender :

Age :

NRIC / Passport (Non-Malaysian) :

Contact Number :

Address :

Email Address :

Have you travelled abroad over the past 30 days?

Have you been in close contact with person being infected, suspected or diagnosed with COVID-19 over the past 30 days?

Have you been admitted to any hospital or tested positive for COVID-19 and recovered over the past 30 days?

Have you ever received a COVID-19 Vaccine?

How many COVID-19 doses have you received?

1st Vaccination Date :

1st Vaccination Date. Brand of Vaccine :

2nd Vaccination Date :

2nd Vaccination Date. Brand of Vaccine :

I acknowledge that the information I've given is accurate and complete. By submitting this declaration form, I agree to the collection, use, and disclosure of my personal information above by Sole To Soul Dance Studio for the purposes of a precautionary measure against COVID-19 Acute Respiratory Disease in the company’s premises. I've read and agree to the Sole To Soul Dance Studio's Studio Guidence & Covid-19 Policy and I will present my Vaccine Digital Certificate upon arrival.


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