Wycombe Wanderers Supporter Questionnaire - Stoke City - 02/12/2020
Questionnaire

This form is required to be submitted electronically to Wycombe Wanderers in advance of the fixture for which your access request has been granted. You will only be admitted once a questionnaire has been satisfactorily completed.

Admission will be refused if:

a) This form is not fully or satisfactorily completed

b) This form shows presence of any COVID-19 symptoms

c) This form is not completed
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Email *
5-digit Season ticket reference code *
First Name *
Last Name *
Have you had a new persistent cough in the last 14 days? *
Have you had a sore throat or aching limbs in the last 14 days? *
Have you had any reduction in your sense of taste in the last 14 days? *
Have you had any reduction in your sense of smell in the last 14 days? *
Have you had any close contact with a COVID-19 patient in the last 14 days? *
Have you travelled to a COVID-19 risk area in the last 14 days? *
Have you been tested for COVID-19 within the last week? *
If yes, what was the date of the last test?
MM
/
DD
/
YYYY
If yes, what was the result of the test?
I understand that whilst at the stadium I will be required to wear a face covering *
Required
I understand that I must stay in the area allocated to me in the stadium and display my accreditation at all times. *
Required
I understand that breaching any government or local requirements for COVID-19 protection may lead to me being asked to leave the stadium. *
Required
I confirm by submitting this information that the above is true and I have no reason to believe I may be currently infected with the COVID-19 virus. *
Required
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