Gowran AC Return to Train Health Questionnaire

Athletes Full Name *

First

Last

Mobile Number *

Email *

Age Category *

Do you believe that you may currently have COVID-19? *

Have you had any of the symptoms of COVID-19 in the past 14 days? *

If you answered NO to all the above question you may attend training

If Yes which symptoms?

If you answered YES to any of these questions you should stay at home and contact your GP by phone for further advice.

Please confirm that the details above are true, and that you understand the risks involved in participation, and that you may opt out at any time. *