Return to training form – members







    RETURN TO TRAINING DECLARATION – MANDATORY FORM FOR PARENTS & SWIMMERS
    PLEASE COMPLETE AND CLICK SUBMIT

    All members will be sent an email and video outlining the new protocols/risk assessments for either Spectrum or SSP, members must have read /viewed the information before signing this form.


    For swimmers under 18 – parents should complete the health check and tick the boxes on behalf of their swimmer. By sending this form parents are confirming that all questions have been answered in relation to their swimmer and that the swimmer has viewed the video, has read / or 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 another training session until I have permission from the Lead Covid Officers.

    YesNo

    7. I understand that if I am allergic to any anti-bac etc I will carry and use my own and I will inform the LCOs in advance of training.

    YesNo

    8. I have checked that my mobile / emergency contact details are up to date on TeamUnify:

    YesNo

    9. I have read the protocols and risk assessment and viewed the video sent by the Lead Covid Officers explaining the protocols and procedures that need to be followed on returning to training. (If you have any questions about any of these please ensure that these are cleared up 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 Covid Officer I intentionally break any of the social distancing measures put in place to safeguard swimmers/staff I will be suspended and a review of my membership will take place.

    YesNo



    Swimmers will not be able to return to training if you have ticked YES to questions 1 – 4 or NO to questions 5 to 11 on this document. The LCOs will contact you direct and will discuss the next steps.


    All other swimmers will be able to return to swimming once they have receive a confirmation email from the LCOs.


    SWIMMER’S FULL NAME*:

    SQUAD/GROUP*:

    SIGNED*: If under 18 Parent’s Signature is Required:

    DATE*:

    EMAIL ADDRESS*:

    CONTACT MOBILE NO.*:
    This must be a parent’s mobile number if the swimmer is under 18 years.

    PARENT’S FULL NAME (if applicable):

    DATE:

    If you have any questions regarding this form etc please contact the Lead Covid Officer’s at gcsc.covid@gmail.com.

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