Confirm the below statements in relaton to yout current personal circumstances (completed by a parent for those under age 18 years) | Check Negative | Check Positive |
A high temperature (above 37.8°C)*40 | ❐ | ❐ |
A new continuous cough | ❐ | ❐ |
Shortness of breath | ❐ | ❐ |
A sore throat | ❐ | ❐ |
Loss of or change in sense of taste or smell | ❐ | ❐ |
Feeling generally unwell | ❐ | ❐ |
Persistent tiredness | ❐ | ❐ |
Been in close contact with/living with a suspected or confirmed case of COVID-19 in the previous 2 weeks | ❐ | ❐ |
Travel from a high-risk region in the last 2 weeks19 41 | ❐ | ❐ |
*Some clubs may wish to include on site temperature checking of participants as part of their standard operating procedure.