BRUFC COVID 19 Symptom Checker + Track & Trace
IMPORTANT
• You must include everyone in your family attending the session and entering the grounds, even if you/they are not staying on site for a prolonged period (i.e. this includes those accompanying players, coaches, volunteers etc.)
• You must do this for every session attended.
By completing this form, I consent for the information provided below to be shared with Bicester Rugby Union Football Club (including its staff), and being stored for the sole purpose of providing the COVID-19 Symptom Checker requirement and NHS Track and Trace, and I understand how my data will be used.
Privacy Notice:
https://cutt.ly/FfwfAF0
* Required
Email address
*
Your email
Your Full Name
*
Enter your name, or the name of the person you are filling the form on behalf of. You must fill a separate form in for each individual attending.
Your answer
Telephone Number
*
Your answer
Date of Visit
*
This is the date you are attending training – NOT your date of birth!!
MM
/
DD
/
YYYY
In what capacity are you attending training?
*
Choose
Player
Parent/Guardian accompanying a player
Coach
First Aider
Other BRUFC Volunteer
BRUFC Section:
*
If attending as a parent and you have multiple children on-site, select the age grade you will be spending most of your time with.
Choose
Senior Men
Vixens
Colts
U16 (Boys)
U16 (Girls)
U15
U14 (Boys)
U14 (Girls)
U13
U12
U11
U10
U9
U8
U7
U5/U6
Is anyone else from your family attending?
*
Yes
No
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
