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Tri Squad Sessions
1:1 Swim Analysis
Triathlon Coaching
Training Camps
Tri Club
Our Coaches
Contact

COVID-19 RETURN TO PLAY FORM

QUESTION 1

* Indicates required field

Have you had confirmed COVID-19 infection or any symptoms in keeping with COVID-19 in the last five months? *

Yes No

If yes, please provide details *

If 7 days post recovery and no symptoms, then a gradual return to exercise is permissible but should persistent symptoms of breathlessness on exertion then you should consult your usual medical practitioner.

QUESTION 2

Have you had a known exposure to anyone with confirmed or suspected COVID-19 in the last two weeks? (e.g. close contact, household member) *

Yes No

If yes, please provide details *

You should self-isolate for 14 days.

QUESTION 3

Do you have any underlying medical conditions? (Examples include: respiratory conditions including asthma; 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). *

Yes No

If yes, please provide details *

If you have an underlying medical condition that makes you more susceptible to poor outcomes with COVID-19 (including age >65) then you should consider the increased risk and may want to discuss this with you usual medical practitioner

QUESTION 4

Do you live with or will you knowingly come into close contact with someone who is currently ‘shielding’ or otherwise medically vulnerable if you return to the training environment? *

Yes No

If yes, please provide details *

This is an individual call but awareness of risks and the appropriate precautions should be taken.

QUESTION 5

Do you fully understand the information presented in the COVID-19 Return to Training briefing and accept the risks associated with returning to the training environment in relation to the COVID-19 pandemic? *

Yes No

Name *

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