Wexford Hockey Club Health Questionnaire Form for Club Members returning to training/coaching/matches 2021-2022
Health and Safety Notice

To help prevent the spread of COVID-19, you must complete Wexford Hockey Club Health Questionnaire Form. Certain responses will preclude you from returning to training/playing/coaching with Wexford Hockey Club in order to protect the health and safety of other members. A form must be completed for each individual member.

Miriam Joyce is the Club COVID Officer (CVO) for Wexford Hockey Club and can be reached at wexfordhockey@gmail.com

Data Protection Notice

Your personal data is being collected on this form in order to help prevent the spread of COVID-19 in . Your personal data is being processed in accordance with Article 9(2)(i) of the General Data Protection Regulation, and Section 53 of the Data Protection Act 2018. The information you provide on this form will not be used for any other purpose, and will be strictly confidential. Our Club COVID Officer & Supervisors will have access to the information you provide.

Sign in to Google to save your progress. Learn more
Email *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy