NHS TEST AND TRACE
PLEASE COMPLETE YOUR DETAILS FOR THE NHS TEST AND TRACE
This will allow the NHS Test And Trace team to contact you if a player you've been in contact with becomes unwell with suspected Covid-19.
In such circumstances, we will share with NHS Test And Trace: your full name, phone number, which session you played at and on which date.
You have a choice. Either you can complete this before every activity you attend and your data will be deleted after 21 days, or you can grant us permission to hold your data for 3 months + 21 days so you don't have to fill this form out repeatedly.
YOUR CONTACT DETAILS
If you have a non-UK number then please add the country prefix code.
ABOUT THE SPORTS SESSION YOU'RE PLAYING AT
We need to identify which sports session you're playing at so that the NHS team can contact you if a player you've been in contact with becomes unwell with Covid-19 symptoms.
Which sport are you coming to play with us?
Is it coaching, games, league, or tournament?
What's the session level?
Which date are you coming to play?
What's the session start time
Please confirm all of the following:
I agree that neither I nor someone I live with or someone I have been in contact with have any Covid-19 symptoms (which include: a high temperature, a new continuous cough, a loss of or change to your sense of smell or taste)
I agree that neither I nor someone I live with are high risk, have been severely affected by Covid-19, have been in contact with any person suspected to have Covid-19, or have been advised to self-isolate as per NHS or government guidance.
I agree to abide strictly by the guidelines and public health restrictions set by the NHS, the government, PlayFit Sports & Social Ltd and the sport halls, and to not engage in high risk activity.
I agree to provide my contact details to be held for the purposes of the NHS Test And Trace for 21 days (or a reasonable period as necessary).
I agree for PlayFit Sports & Social Ltd to hold my contact details for the purposes of the NHS Test And Trace for a period of:
21 days (I will complete this form before every session)
3 months + 21 days (I will complete this form once every 3 months)
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