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Gorey Hockey Club Covid-19 Attendance Survey
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* Indicates required question
If you answer ‘yes’ to any of the questions below please do not attend for training. Contact your GP for further assistance.
Child's Name
*
Your answer
Parent's Name
*
Your answer
Parent's Mobile Number
*
Your answer
Date of training session
*
MM
/
DD
/
YYYY
In the previous 14 days have you, or your child, experienced any Covid-19 symptoms?
*
Yes
No
In the previous 14 days have you, or your child, been in contact with any confirmed/suspected Covid-19 case?
*
Yes
No
In the previous 14 days have you, or your child, travelled internationally and been advised to quarantine on your return?
*
Yes
No
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