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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.
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* Indicates required question
Email
*
Your email
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.
Your answer
Contact phone number
*
Your answer
Players Name
Thatcham Town Harriers player (leave blank if not applicable)
Your answer
Team session or match being attended
*
Choose
U6
U7
U10 Blue
U10 White
U11
U12
U13
U14 Lightning
U15 Ice
U15 Fire
U16
U17
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.
Your answer
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
Are you or anyone in your household/bubble self-isolating whilst waiting for a test or test results for Covid-19?
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
Are you or anyone in your household/bubble self-isolating whilst waiting for a test or test results for Covid-19?
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
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