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Have you experienced any of the recognised symptoms of COVID-19 within the last 7 days?

If ticking yes to any of the above, we will require you to take a LFT before entering the location/studio

Vulnerable and Additional Health Needs

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I consent to having the above personal information being held and processed by CPL Productions Ltd. for the purposes of managing their COVID-19 risks.

I will inform a representative of the production immediately if I experience any symptoms of COVID-19.

I certify that the responses provided above are true and accurate to the best of my knowledge

I have received a copy of the relevant CPL Productions Risk Assessment / COVID-19 Policy (the 'Policy')

I have read the Policy and agree that I will comply with its terms whilst within the area that it applies

I have reviewed the CPL Productions Privacy Policy (https://www.cplproductions.co.uk/wp- content/uploads/2020/05/CPL- GROUP-PRIVACY-STATEMENT.pdf)

I declare that if there is a change to any of the above information before the recording date I will advise the Administrator team/Production Team immediately