COVID-19 Self Check & Declaration

Parent Details
Email Phone
First Name Surname

Player Details
First Name Surname
Team Session Date
Open the calendar popup.

Does your child have a temperature above 37.8°C?
Has your child developed a new continuous cough?
Has your child had shortness of breath or a sore throat?
Has your child had lose of taste or smell?
Have you or other members of your housegold shown signs of the above symptoms (at time of completing this form)?
Has your child or any other members of your household been contacted by the Track & Trace team (at time of completing this form)?

Disclaimer: This guidance is for general information and does not constitute legal advice or replace any government or PHE advice; nor does it provide any specific commentary or advice on health related issues. While efforts have been taken to ensure the accuracy of this information at time of publication, the reader is reminded to check the government website to obtain the most up to date information regarding social distancing and any other Government measures.