Thatcham Town Harriers - COVID Track & Trace
As part of our measures to ensure a safe environment for our players and supporters everyone attending training sessions and matches is required to complete this form before attending.

Where people are attending from multiple households a separate form will need to be completed.
Email address *
Session date *
This is the day of the training session or match that is being attended (this form should be completed for both home and away fixtures). NOTE - the form should be completed no earlier than 24 hours before the session or match
MM
/
DD
/
YYYY
Name - Parent / Guardian / Responsible adult *
The form must be completed by parent, guardian or responsible adult. Due to first aid restrictions a responsible adult must be present for all players.
Contact phone number *
Players Name
Thatcham Town Harriers player (leave blank if not applicable)
Team session or match being attended *
Additional people attending
Please include a list of names of people attending from the same household. Please note you must socially distance and be in groups of no more than 6.
COVID-19 Self-screening questionnaire *
Please confirm whether or not anyone listed as an attendee has had any of the follow symptoms in the last 14 days
Yes
No
High temperature (above 37.8)
A new continuous cough
Shortness of breath
Sore throat
Loss of or a change in normal sense of taste or smell
Feeling generally unwell
Persistent tiredness
Been in close contact with a suspected or confirmed case of COVID-19 in the previous two weeks
Data Protection
Per government and FA guidelines the details submitted will be kept for 28 days (minimum requirement is 21). Our privacy policy can be found here: https://www.thatchamtownharriers.club/policies
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Thatcham Town Harriers Football Club. Report Abuse