Greenvalley Show Jumping League 12-Dec-2021 Attendance Form

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Email *

Confirm Email *

Attendee First name *

Attendee Last name *

Attendee Contact Phone Number(Mobile Preferred) *

Role *

Rider

Assistant/Groom

Event Official

Spectator/Supporter

Please enter your airc number if you are a rider

In the previous 14 days have you displayed any symptoms of Covid-19 *

Yes

In the Previous 14 Days have you travelled outside the Republic of Ireland *

Yes

In the past 14 days have you been in contact with anyone who is a suspected or confirmed case of Covid 19 *

Yes

Do you live in the same household as someone who is showing symptoms of Covid 19 or who has been isolating in the last 14 days *

Yes

Please provide any other information which may be relevant

Terms and Conditions

If you have ANSWERED YES to any of these questions you should STAY AT HOME and inform your medical practitioner.
Terms and Conditions
By submitting this form you confirm that all the details are correct at the time of completion.

Please do not attend an event if you are feeling unwell, have been in contact with anyone who is self-isolating or who has Covid-19. You must take personal responsibility for your own actions to prevent the spread of this disease - please adhere to social distancing measures and wear a face covering at all times. The organiser has the right to refuse entry to the event.

The organisers are GDPR compliant and will only use the data you have provided for the purpose of contact tracing. This information may be shared with the HSE if required.

You will receive a copy of this submission by email. If you need to change any of the information you have provided, please use the 'Edit' link on the email before the deadline.

Agreement *

I agree

Do you agree to the terms and conditions above?

Submitted by *

A copy of your responses will be emailed to the address you provided.

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