COVID-19 Pelsall

Visitors to Pelsall Book Exchange

The safety of our employees, volunteers and visitors remain our overriding priority and we are monitoring the Coronavirus situation closely and following the government, Centre for Disease Control & Prevention and the World Health Organisation guidelines.

Questionnaire

To help prevent the spread of COVID-19 and reduce the potential risk of exposure to our workforce and visitors we are conducting a simple screening questionnaire. Your participation is important to help us take precautionary measures to protect you and everyone in this building. We thank you for your time and understanding.

Full NamePurpose of visitContact NumberHave you returned from any of the countries that require you to quarantine in the last 14 days?YesNoHave you been in close contact with anyone who has returned from a country that requires them to quarantine in the last 14 days?YesNoHave you had close contact with or cared for someone diagnosed with COVID-19 within the last 14 days?YesNoHave you experienced any cold or flu-like symptoms in the last 14 days (cough, fever, sore throat, difficulty breathing)?YesNoHave you experienced a loss of taste or smell in the last 14 days ?YesNoIf the answer is 'yes' to any of the questions you will not be allowed to stay at the community centreBy sending my Information I agree to your Privacy policyEnter displayed code

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Contact Us

Brownhills Community Centre
Chester Road North
Brownhills
Walsall
WS8 7JW

Phone: 01543 452 119
Email: info@brownhillsca.org.uk

Brownhills Community Association Ltd.
Registered in England.

Company No. 3181629

Terms & Conditions

Registered Charity No. 1054738