CoViD-19 Health Screen Form

If the swimmer concerned here is under 18 years of age, then their parent/guardian must complete this form on their behalf. PLEASE KEEP THIS FORM UP-TO-DATE CONTINUOUSLY, until further notice. Thank you.
Please indicate which squad the swimmer is in.
Complete only if swimmer concerned is under 18 years of age.
• Fever • New, persistent dry cough • Shortness of breath • Loss of taste or smell • Diarrhoea or vomiting • Muscle aches not related to sport or training.