ZFW Fencing Club - the benefits of fencing

HEALTH DECLARATION FORM

Confirmation that I am fit to participate and I read the attachments:

Participants answering "Yes" to any of the questions should not travel to club and will need to contact the Club 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 each day of participation in club session.

Health Declaration Form...

Covid-19 Health Declaration

How are you feeling today?

Fencer's Name

Did you (or the person whom you are completing this form) have symptoms of, or have you been diagnosed with coronavirus diseas (COVID-19) in the last 4 weeks?

In the past 14 days, have you (or the person whom you are completing this form) been in contact with someone who is or could be infected with coronavirus?

In the past 24 hours, have you (or the person whom you are completing this form) had any of the following symptoms:

I confirm I read the attachments: Good Habits, Participant Protocol, School Clubs Risk Assessment

Date

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!