PRE-EVENT HEALTH DECLARATION – ALL OTHER PARTICIPANTS
ALL EVENT STAFF, VOLUNTEERS, TECHNICAL OFFICIALS, SPECTATORS AND THIRD PARTY
SERVICES PROVIDERS ARE REQUIRED TO SUBMIT A PRE-EVENT HEALTH DECLARATION
KidstriUK Bognor Triathlon - 20th September 2020
Email address *
Declaration
I confirm that within the last 14 days I (or someone I live with) have not been unwell with any of the
following symptoms:
• A high temperature
• A new, continuous cough
• A loss of, or change to, my sense of smell or taste
If I (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.
Full Name (Fname, Lname) *
Date form Completed *
MM
/
DD
/
YYYY
Contact mobile *
The information in this document is held subject to the event organisers’ privacy policy and will be shared with NHS Testand Trace upon request
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy