TAC - Covid Health Questionnaire
An England Athletics requirement of clubs/coaches operating training within a Covid-19 secure environment (which allows for group sizes of up to 12 athletes to 1 qualified coach/leader) is that athletes taking part in sessions have undertaken a pre-activity health questionnaire, prior to the sessions. The following should therefore be completed by athletes taking part in organised Trawden Athletic Club training sessions.

NOTE: You only need to complete this form once.
Full Name of Athlete *
Name of Parent/Guardian for Athletes Under 18
Phone Number *
Email Address
Pre-Activity Agreement

HEALTH
I confirm that I have not had any Covid-19 symptoms (see below) or been tested positive for Covid-19 during the last 14 days.

FUTURE CHANGES TO HEALTH
I confirm, in the event that I exhibit Covid-19 symptoms in the future and/or have a positive test, I will inform the coach and not attend training sessions within 14 days of the illness/test.

IF TESTED POSITIVE
I confirm that I will complete the UKA Covid-19 report form https://www.trawdenac.co.uk/covid/track-and-trace

QUARANTINE
in the event that I am required to quarantine due to contact/proximity to someone who has been required to quarantine, I confirm I will not attend training sessions until my quarantine period ceases.

MAIN SYMPTOMS OF COVID-19
• High temperature – this means you feel hot to touch on your chest or back (you do not need to measure your temperature)
• New continuous cough – this means coughing a lot for more than an hour, or 3 or more coughing episodes in 24 hours (if you usually have a cough, it may be worse than usual)
• Loss or change to your sense of smell or taste – this means you've noticed you cannot smell or taste anything, or things smell or taste different to normal
Digital Signature *
By entering your name below you agree to the conditions stated in the Pre-Activity Agreement above.
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