I hereby declare that I am medically fit to undertake exercise, I do not have symptoms of Covid -19 , that I am happy to seek medical clearance if requested and that I have not had close contact with anyone infected with the Coronavirus in the last 14 days to the best of my knowledge. I also agree to uphold the physical distancing and hygiene requirements in accordance with Fitness Australia guidelines and Mjs training.

Signature

Witness

Mark Stevens MJS Training

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m: 0408 376 400

e: mark@mjstraining.au