Return to swimming with Sutton Dolphins

Covid-19 and Risk Awareness Declaration 

 

………………………………. am returning to swimming having completed and signed the Health Survey as requested by Sutton Dolphins

 

By signing this declaration, I confirm I am free from any symptoms related to the Covid-19 virus, I understand the main symptoms include:

 

• a high temperature – this means you feel hot to touch on your chest or back

 

• a new, continuous cough – this means coughing a lot for more than an hour, or three or more coughing episodes in 24 hours

 

• a loss or change to your sense of smell or taste.

 

I am also confirming all in my household remain symptom free, and anyone taking me to or from swimming  and attending my swimming session with me is also symptom free from the virus. 

 

By signing this declaration, I confirm that for any future sessions I will only attend in the full knowledge that I am free from any Covid-19 symptoms. In addition, but conversely confirm by signing this declaration that if I do display any symptoms I will not attend swimming for a period of at least 14 days and follow government guidance to self-isolate.  

 

I return to Sutton Dolphins knowing that my participation cannot be without risk, I am therefore aware of these risks associated with the Covid-19 virus, but still wish to participate in club swimming   

I understand the processes and protocols Sutton Dolphins club have put in place in order to reduce risks and I will adhere to these in order to protect my health and the health of other members, staff and other users of the facility. 

I am aware the instructors maybe in water with my child. I Do/Do Not give permission for instructors to physically aid  my child   (Delete as appropriate)

 

 

Signature

 

 

Date

 

Parent/guardian signature (as members under 18) 

 

Date

 


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