Falmouth United 1st Team/Adult COVID-19 Self Assessment Form

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Please complete this form before attending any training session or fixture. If you are showing any COVID-19 symptoms or have been in recent contact with an individual who has tested positive for COVID-19, you must not attend training or matches.

Name (First and Last name) *

Team *

Are you showing any COVID-19 symptoms (a high temperature, continuous cough, loss of sense of taste or smell) *

I am showing Covid-19 symptoms / I have been in close contact with an individual that has tested positive

I am not showing COVID-19 symptoms / I have not been in close contact with an individual that has tested positive

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