QuidditchUK - Track and Trace Template

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MAKE A COPY OF THIS FORM FOR YOUR CLUB

Clubs are encouraged to adapt and use this template form when organising training sessions.

Please ensure attending staff and players have filled out relevant details before attending any sessions.

Name *

Contact Number *

Email Address *

Have you or anyone within your household been self isolating for the last 14 days? *

Yes

Have you experienced any of the following symptoms within the last 14 days? *

High Temperature

Loss of taste and/or smell

Continuous Dry Cough

Loss or shortness of breath from little to no physical activity

I have not had any of these symptoms within the last 14 days

Are you travelling from outside of town to attend training? *

Yes

What date(s) are you intending to attend training *

If you answered 'Yes' to the previous question, how are you travelling and what precautions are you taking?

By submitting this form, I can confirm I have answered all questions truthfully and to the best of my knowledge. To my knowledge I do not have any symptoms of COVID-19 and nor does any member of my household. *

I confirm my answers to be true and correct to the best of my knowledge.

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