2021 Covid 19 Contact Tracing
As part of our Commitment to keeping with the ISA and goverment guidelines we are asking all members to fill out the form every time that are going out on the water for the next few weeks. This will help everyone concerned with contact tracing if any of our members become affected we will be able to see who else was out sailing at the same time. This form has to be filled out for everyone who attends the club during the Covid Crisis. This data is only kept for the duration of the Covid Crisis and will then be deleted in compliance with GDPR Rules.

This form has to be filled out every time you visit Cullaun to go out on the water or tend your boat while there are others there at the same time.

PLEASE DO NOT FILL IN THIS FORM UNTIL 1 day or 36 hours before going sailing
Sign in to Google to save your progress. Learn more
Email *
Please Confirm that you or anyone with you does not have any of the following symptoms A high temperature or a fever Finding it hard to breathe A dry cough Sometimes people who have Coronavirus show other symptoms too.The following are symptoms that are less common :Feeling tired or fatiguedHaving aches and pains A sore throat A runny nose Headaches If you have symptoms you should stay away from other people and phone your GP. For more information, you can :visit hse.ie or call 1850 24 1850
What Date are you visiting Cullaun SC *
What Time slot will you be visiting the club at *
What is your Name *
What is your telephone number *
Please list below any other members from your household that will be attending with you. *
Please Confirm that you are a club member for 2021. Membership payments can be paid through our website http://www.payments.cullaunsailingclub.com Non Members are not Insured for Sailing in the Omega's *
Which boat will you be using on this visit. Omega and laser rental boats are only available to fully paid up members. Please make sure to have your payment completed at http://www.payments.cullaunsailingclub.com before registering for a club laser or Omega here. *
If you have any questions or comments you would like us to answer then please ask them below.
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy