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Register and Declaration 18/11/2020
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* Indicates required question
Please write the date of the session and the bubble number you are in. (DD/MM/YYYY, bubble number)
Your answer
Are you currently diagnosed with or believe you may have COVID 19?
*
Yes
No
Do you have a high temperature?
*
Yes
No
Do you have a new, continuous cough?
*
Yes
No
Do you have a loss or change to your sense of smell or taste?
*
No
Yes
Have you been in close contact with a COVID 19 confirmed or suspected case in the last 14 days?
*
Yes
No
Are you in the vulnerable group category? (As defined by Welsh government)
*
Yes
No
If you have answered 'Yes' to any of the above questions, you should remain at home and report via the ‘
myunisupport@swansea.ac.uk
’ option and inform your 'Club Compliance Officer' (Nick Fisher) immediately. Please mention below as well (a 'yes' will suffice).
Your answer
First Name
*
Your answer
Second Name
*
Your answer
Email Address
*
Your answer
Student Number
*
Your answer
Mobile Number
*
Your answer
Please confirm that you have read and understood the requirements of all club documents relating to attending /participating in club training / sessions / events.
*
I confirm/understand my choices
I do not confirm nor understand my choices
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