Return To Competition Form







    RETURN TO COMPETITION DECLARATION – MANDATORY FORM FOR THOSE ATTENDING THE OPEN MEETS
    PLEASE COMPLETE AND CLICK SUBMIT

    All personel who wish to attend the Open Meet and have not previously completed a Guildford City Swimming Club Mandatory Form must read the
    Promoter’s Conditions and the relvant Open Meet risk assessments and view the relevant video outlining the new protocols/risk assessments for
    either Spectrum or SSP before signing this form.


    For attendees under 18 – parents/guardians should complete the health check below and tick the boxes on behalf of the attendee. By
    sending this form parents/guardians are confirming that all questions have been answered in relation to the attendee and the attendee
    has viewed the video, read & understands the new protocols and procedures that have been put in place.

    Question Yes/No

    		 More Information
    1. Have you had confirmed Covid-19 infection or any symptoms (listed below) in keeping with Covid-19 in the last five months?
    • Fever
    • New, persistent, dry cough
    • Shortness of breath
    • Loss of taste or smell
    • Diarrhoea or vomiting
    • Muscle aches not related to sport/training

    YesNo

    		 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.
    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)

    YesNo

    		 If ‘Yes’, please provide details:
    		 You will not be allowed to train until you have self-isolated for 14 days.
    3. Do you have any underlying medical conditions?
    (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)

    YesNo

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

    YesNo

    		 If ‘Yes’, please provide details:
    		 This is an individual call but awareness of risks and the appropriate precautions should be taken.
    5. Do you fully understand the information presented in this Return to Training Mandatory Form and the email and video briefing and accept the risks associated with returning to the training environment in relation to the Covid-19 pandemic?

    YesNo

    		 If no you should not train and contact the Lead Covid Officers for more information. gcsc.covid@gmail.com.


    If you have any other symptoms (no matter how mild) which may be connected to another virus or bacterial infection please allow 48 hours after symptoms have gone before returning to training in order to protect all swimmers and staff. Any incidents in the pool will mean Pool Operators will need to undertake a thorough deep clean.


    6. I understand that it is my responsibility to inform the Lead Covid Officers if my answers to any of the Health Questions change after I have submitted the form and that I should NOT attend the Open Meet until I have permission from the Senior Lead Covid Officers.

    YesNo

    7. I understand that if I am unable to wear a face mask or am allergic to any anti-bac etc I will inform the Senior LCOs in advance of the Open Meet and bring my own anti-bac.

    YesNo

    8. I have supplied the Club with my full name, address and contact details below

    YesNo

    9. I have read the Promoter’s conditions and relevant risk assessment and viewed the video regarding the Open Meet which explains the protocols and procedures that need
    to be followed at the Open Meet. (If you have any questions about any of these please ensure that you contact the Open Meet Team before signing this form):

    YesNo

    10. I agree that if government, Swim England or any other relevant guidance changes I will adopt/follow that guidance as directed by Guildford City Swimming Club.

    YesNo

    11. I understand and agree that if in the view of the Lead Open Meet Covid Officer I intentionally break any of the social distancing measures put in place to safeguard attendees I may be banned from attending the rest of the meet.

    YesNo



    Attendees will not be able to attend the Open Meet if you have ticked YES to questions 1 – 4 or NO to questions 5 to 11 on this document. The Senior LCOs will contact you direct.


    If after completing this form you develop any Covid symptoms you should contact the Senior Lead Covid Officers who will inform you of the next steps: gcsc.covid@gmail.com.


    ATTENDEE’S FULL NAME*:

    Name of Swimming Club*:

    SIGNED*: Attendees signature if 18 and over (or parent/Guardian if 17 and under)

    DATE*:

    EMAIL ADDRESS*:

    FULL POSTAL ADDRESS*:

    Reason for attending the Open Meet eg Swimmer, Official Helper etc:

    Please prove you are human

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