Lismore CC Self-Assessment
COVID-19 Player Self-Assessment Form

To ensure the Health & Safety of all people interacting with our club, all visitors must complete this declaration form prior to entering our site. If you indicate to us that you have symptoms of COVID-19 or you have been abroad in the last 14 days, with the exception of travel between Northern Ireland and Republic of Ireland, you should not attend the club’s training facility. Where this is the case, you are prohibited from entering or using the club and advised to seek professional medical help/assistance.

Please fill out the below assessment form as soon as possible.

This information will be kept strictly confidential and only used by the Club Covid Offers as part of our safe Return to Training protocol.

THE ONUS IS ON THE PLAYER / PARENT TO INFORM THE CLUB IMMEDIATELY IF THERE IS ANY CHANGE TO THE ANSWERS GIVEN BELOW ONCE THIS ASSESSMENT IS COMPLETED.
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