Abingdon Fencing Club - COVID-19 Pre-Session Health Check

Full Name of Fencer

Mobile Phone number to be provided

I confirm that I am a British Fencing Member, but I have forgotten my membership number

Please select the session being attended

Participants answering DISAGREE to any of the questions should not travel to club and will need to contact the Club COVID-19 officer for more advice before returning to club. This form is only valid for the date that it is completed. A separate form must be completed for each day of participation in club sessions.

• Fever • New, persistent, dry cough • Shortness of breath • Loss of taste or smell • Diarrhoea or vomiting • Muscle aches not related to sport/training

I have not been diagnosed with COVID-19 within the last 4 weeks

I have not had any known exposure to anyone with confirmed or suspected Covid-19 in the last two weeks (e.g. close contact, household member)

(Examples include: chronic respiratory conditions including asthma; chronic heart, kidney, liver or neurological conditions; diabetes mellitus; a spleen or immune system condition; currently taking medicines that affect your immune system such as steroid tablets) OR I have underlying health conditions, but I have consulted with a medical professional and am advised it is safe for me to return to fencing. I will provide a copy of this letter to the Club welfare officer.

I have read and agree to the club COVID-19 briefing/instructions/policy

I acknowledge that I am responsible for providing my own equipment and this has been appropriately cleaned since last use.

I will bring my own sanitiser and follow all hygiene protocols, including ensuring that on arrival I wash/sanitise my hands

I agree to follow all instructions given by facility or club officials at the session