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Information about athletes - coaches
Al fine di semplificare la raccolta dati, chiediamo di compilare il seguente form.
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* Indicates required question
Email
*
Your email
Name - Nome
*
Your answer
Surname - Cognome
*
Your answer
Date of birth - data di nascita
*
MM
/
DD
/
YYYY
Place of birth - luogo di nascita
*
Your answer
Address - indirizzo
*
Your answer
Phone number - numero di telefono
*
Your answer
Email
*
Your answer
FIS CODE*
*
Your answer
Have you had any cold symptoms (cough, runny nose, sore throat, difficultbreathing, loss of taste or smell) during the last 14 days?
*
Yes
No
Have you had any of the following symptoms during the last 14 days: - Fever - Chest pain - Headache - Nausea/vomiting - Diarrhea
*
Yes
No
Have you been in contact with someone with a proven infection with Covid-19?
*
Yes
No
Have you been in quarantine during the last 14 days?
*
Yes
No
Have you tested positive to the PCR (Polymerase chain reaction) test during the last 14 days?
*
Yes
No
I also confirm that I will measure the temperature every morning before leaving the hotel and if thetemperature will be 37.5 or more I will not participate in the races
*
Yes
Required
If you answered YES to any question in the questionnaire above, you must present a negativeCovid-19 PCR result carried out within the previous 72 hours (3 days) before arrival at the Event. Inviando il presente questionario confermo la veridicità di tutte le risposte date e in caso di atleta minorenne confermo che le stesse sono state date sotto il controllo di un genitore o di chi ne fa le veci
*
Yes
Required
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