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Coronavirus Check-in & Person Review Questionnaire
Please fill out the return to gymnastics sessions participant attendance register and COVID-19 Check in and person review below.
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Activity
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Participant Name
First Name
Last Name
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Name of person completing details
IF ATHLETE IS UNDER 18
First Name
Last Name
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Club / Organisation
IF APPLICABLE
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Role
I am a:
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Location
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Email
example@example.com
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10
In the previous 14 days, have you had any COVID-19 symptoms?
E.g. fever, tiredness, and dry cough.
Yes
No
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In the previous 14 days, have you been in contact with any confirmed/suspected COVID-19 case?
Yes
No
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In the previous 14 days, have you travelled internationally or been in contact with anyone who has?
Yes
No
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Do you have any flu like symptoms?
Yes
No
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If you answered YES to any of the questions above, please don't attend for 14 days, or until you have written evidence of a 'no result' and are feeling well.
I understand
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15
Signature
*
This field is required.
I, the athlete (18+) parent and/or official guardian of athlete(s) named above, hereby acknowledge that the information above is true to the best of my knowledge. I consent to my child participating in activities arranged by Advantage Gym Sports.
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