IKMF Vancity

COVID Mandatory Screening

Information & Disclaimer

  • Fill out this form the day before EACH class to save time.
  • Please come with a sports outfit and a bottle of water.
  • You can┬ábegin any time of the year.

By submitting the form and attending the class, you fully accept the risks inherent to this indoor activity, understanding that social distancing may not be possible for some close-combat exercises, and agrees to indemnify and hold harmless KM Vancity and their instructors from any Covid-related health issues including direct or indirect consequences related to Covid.

    Covid Screening Form

    • Fever or Chills
    • Cough
    • Sore throat
    • Difficulty breathing
    • Diarrhea
    • Nausea and/or vomiting
    • Extreme fatigue or tiredness
    • Body aches
    • Loss of appetite
    • Headache
    • Loss of sense of smell or taste

    YesNo