COVID FORM Full Name *Name of Club (if appropriate)Category *Juvenile/Junior AthleteSenior AthleteOfficialParentDo you or any of your household have symptoms of cough, fever, high temperature, sore throat, runny nose, breathlessness or flu like symptoms now or in the past 14 days? *NoYesHave you or any of your household been diagnosed with confirmed or suspected COVID-19 infection in the last 14 days? *NoYesAre you or is anyone in your household a close contact of a person who is a confirmed or suspected case of COVID-19 in the past 14 days (i.e. less than 2 metres for more than 15 minutes altogether in 1 day)? *NoYesHave you or anyone in your household been advised by a doctor to self-isolate at this time? *NoYesHave you or anyone in your household visited in the last 14 days any country outside Ireland where self-isolation is required on entering Ireland? *NoYesAre you or anyone in your household in a period of self isolation and/or cocooning? *NoYesIf you answered 'YES' to any of the questions above or have indicated to us that you have symptoms of COVID-19 you should not attend the event. You are prohibited from entering the venue and advised to seek professional medical help/assistance.Emergency Contact Name & Number *Will only be used for important information about the event on the 8th Aug or for covid tracing Important Disclaimer - When on-site at the Sports, please adhere to all standard processes/procedures regarding infection control. i.e. social distancing, hand washing/hand sanitising and general coughing/sneezing etiquette. All data on this form is collected with your consent for the sole purpose intended and in line with the clubs GDPR policy and privacy statement. *I agree.NameSubmit
