Health Screening & Attendance Form
Health Screening & Attendance Form for Galway Athletics Coaching Series 2021.
Please complete for every athlete and coach/official in attendance.
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Email *
Full Name *
Club *
Gender
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Age Group/Category *
Contact Telephone Number (Accompanying parent/guardian's contact number for juvenile athletes) *
Covid 19 Symptoms
Covid-19 Declaration (on behalf of attendee) *
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Required
Important Information
We look forward to seeing you at training. Please remember the following:
- Arrive in your gear
- Check in with Covid Officers on arrival
- Bring your own water bottle, with your name clearly shown
- There should be no hugs, high 5's, etc.
- Listen to your coaches instructions
- Try to maintain social distance where possible

For up to date advice on Covid-19, please visit https://www2.hse.ie/coronavirus/
A copy of your responses will be emailed to the address you provided.
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