Waterford Hockey Club Health Questionnaire August '21
Waterford Hockey Club Health Questionnaire

This document must be submitted 48 hours in advance of the first training session attended. It will be received and reviewed by the COVID Officer. For underage players this document should be submitted by a parent/guardian.
Players who arrive for a training session without completing the Health Questionnaire will be refused entry to training session.

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.Have you had any of the following symptoms of Covid-19 in the past 14 days? *
Yes
No
High temperature (>37.5 degrees)
Loss of sense of smell and/or taste
New continuous cough
New unexplained shortness of breath
Are currently you self-isolating for any reason eg international travel, close contact, COVID 19 infection? *
If you have answered yes to any of these questions above, you should contact your G.P. by phone for further advice. If you have answered NO to all of the above questions you may train/play with your squad. Please submit this form to confirm that the details above are true to the best of your knowledge and confirm that you understand the risks involved in participation, are participating on a voluntary basis and that you may opt out at any time. You are required to inform the COVID-19 Officer of any changes to any of the information provided on this questionnaire during the training season.
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