ELPMCC COVID-19 Daily Attendance
Please complete this form to note your attendance at ELPMCC today. One form per household.
Email address *
Enter the date *
MM
/
DD
/
YYYY
I declare that neither I or my household have any COVID-19 symptoms (new cough, shortness of breath, fever, loss of taste and smell) *
If you or your household have COVID-19 symptoms please notify a club official that you have been on site and then return home. Anyone who has symptoms of coronavirus (COVID-19) can get a free test to check if they have the virus. Please visit NHS.uk for details.
Required
Full name of yourself and all members of your household with you today *
Please provide a contact phone number *
Please acknowledge that you are aware of and will comply with our social distancing requirements.
Social distancing requirements are on the notice board and on the signage around the club. Please also feel free to refer to our risk assessment.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy