River Canoe Club - Pre-Paddle Registration System (COVID-19 management)
This information is required to be collected by the club as part of national recommended strategies for paddling activities, to help with COVID-19 management. The information collected shall only be used be used for this purpose.

** All visitors to the clubhouse and participants in any club paddling activities are required to complete this form before each attendance - it can be done any time in advance and preferably not later than 24 hrs before the activity **

Your participation is important to help us take precautionary measure to protect you and everyone in the club. We thank you for your time and cooperation. If you do answer 'yes' to any of the questions, we do kindly ask that you refrain from taking part in the club activity for the time being.

NB:
1. This form is required to be completed before each time that you participate in an activity.
2. You'll also need to let the trip leader/organiser know you're coming  (this is not a replacement for doing that)

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Our obligations as a club - per Paddle Australia Advice of 19/3/2020.
6.1.1 Keeping a record of who has attended an activity or an event and what day and time the activity or the event took place; and
6.1.2 Providing the contact details of those who have attended the event or activity.
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Any questions, please do not hesitate to contact any of the committee members, otherwise email enquiries@rivercanoeclub.org.au

Thanks for your understanding.

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Email *
Name - First, Family. *
Your contact phone number *
Date of event  that you are planning to participate in? *
MM
/
DD
/
YYYY
time of event that you're looking to participate in? *
Time
:
location? *
Question 1 - Have you read the latest updates and measures being implemented by the Club? and do you agree to follow the recommendations - eg washing down of gear?   Please refer https://rivercanoeclub.org.au/covid-19/ *
Question 2 - Do you currently have any of the following cold symptoms: Fever, Dry cough, Body aches, Headaches, Sore throat, Runny nose, Tiredness, Shortness of breath, etc? *
Question 3 - Have you had any contact in the last 14 days with a person that has any of the following cold symptoms: Fever, Dry cough, Body aches, Headaches, Sore throat, Runny nose, Tiredness, Shortness of breath, etc? *
Question 4 - Have you been in contact with a confirmed novel coronavirus (COVID-19) patient in the past 14 days? (visited, anybody else in same household) *
Question 5 - Have you traveled internationally or interstate in the past 14 days? *
Question 6 - Have you been in contact with any family member (or similar) that has traveled internationally in the past 14 days? *
Question 7 - are there any other factors that might lead you to have an increased risk of contracting/transmitting infection in the last 14 days? (eg attendance at large public gatherings - sporting events, demonstrations, concerts, visits to identified 'hotspots' or similar) *
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