Register and Declaration 18/11/2020
Please write the date of the session and the bubble number you are in. (DD/MM/YYYY, bubble number)
Are you currently diagnosed with or believe you may have COVID 19? *
Do you have a high temperature? *
Do you have a new, continuous cough? *
Do you have a loss or change to your sense of smell or taste? *
Have you been in close contact with a COVID 19 confirmed or suspected case in the last 14 days? *
Are you in the vulnerable group category? (As defined by Welsh government) *
If you have answered 'Yes' to any of the above questions, you should remain at home and report via the ‘’ option and inform your 'Club Compliance Officer' (Nick Fisher) immediately. Please mention below as well (a 'yes' will suffice).
First Name *
Second Name *
Email Address *
Student Number *
Mobile Number *
Please confirm that you have read and understood the requirements of all club documents relating to attending /participating in club training / sessions / events. *
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