PRE-EVENT HEALTH DECLARATION - COMPETITORS
EVENT = KidstriUK BOGNOR REGIS TRIATHLON - 20th SEPTEMBER 2020
To be completed within 48 hours of the event only
I confirm that within the last 14 days I & the competitor(s) (or someone I live with) have not been unwell with any of the
• A high temperature
• A new, continuous cough
• A loss of, or change to, my sense of smell or taste
If I or competitor (or someone I live with) have demonstrated any of the above symptoms, I will follow NHS and PHE
guidance on self-isolation and not attend the event.
Since January 2020, if you have tested positive for Covid-19:
• If you were hospitalised due to Covid-19, you should undergo a form of health screening prior to
taking part in a triathlon or multisport. This screening is best led by a doctor with specialist
training in sports medicine. However other doctors may feel competent to make decisions on your
fitness to compete and to decide any appropriate investigations that might be required.
• If you were not hospitalised due to Covid-19, but self-isolated having tested positive or shown
symptoms at any time, you are also recommended to undergo a form of screening.
• If you have felt entirely well during the pandemic, you are not routinely recommended to
undergo health screening, but it is something to be considered as part of your normal health
monitoring for the health-conscious competitor.
Your GP should be able to guide you on what level of screening you may require, and who is the best
person to assist you in the process.
Date of form completion
Name of Competitor (Fname, Lname)
Name of Second Competitor (Fname, Lname)
Name of Third Competitor (Fname, Lname)
Contact Telphone Number
Spectators names (Please list all attending)
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service