Under 18 Covid Declaration 

(To be completed by Parent/Guardian within the  24 hours preceding a session)

The health and safety of our coaches, players and staff is important to us. Due to the ongoing and rapidly changing situation with Covid-19, in order to protect the health of your family, friends and colleagues, we require you to complete this form on behalf of your child within 24 hours prior to them engaging in any American Football activity.

Please answer the following statements Yes or No
Do they have a high temperature, a new continuous cough or a loss/change to sense of taste or smell?

THEY SHOULD STAY AT HOME IF THEY HAVE CORONAVIRUS SYMPTOMS

Have they been in contact with someone who is suspected, or known to have confirmed Covid-19 in the last 14 days?
In the last 14 days have they travelled internationally to a destination NOT on the list of countries exempt from quarantine requirements as detailed by the UK Government?
Have they been told to currently isolate by the NHS Track and Trace App?

If the answer is yes to any of the above, they should not be declared as able to return to practice and should follow the guidance on https://www.nhs.uk/conditions/coronavirus-covid-19/testing-and-tracing/straight away.


If any of the following apply they may be at higher risk should they contract Covid-19. You should discuss whether returning to American football is safe or appropriate with their GP and club management before attending practice.
a) Had a solid organ transplant
b) Undergoing treatment currently or in last 6 months for any cancer
c) Currently taking or in the last 6 months have taken immunosuppressant medication
d) Have a respiratory condition including all cystic fibrosis, severe asthma and severe chronic obstructive pulmonary (COPD), emphysema or bronchitis
e) Have any rare diseases or inborn errors of metabolism that significantly increase the risk of infections (such as Severe Combined Immunodeficiency (SCID), homozygous sickle cell)
f) Are pregnant
g) Have one or more of the following other underlying health conditions - chronic heart disease such as heart failure, chronic kidney disease, chronic liver disease, such as hepatitis, chronic neurological conditions, such as Parkinson’s disease, motor neurone disease, multiple sclerosis (MS), or cerebral palsy, diabetes, a weakened immune system as the result of conditions such as HIV and AIDS, or medicines such as steroid tablets, being seriously overweight (a body mass index (BMI) of 40 or above)
h) Any other condition not listed above that you feel may put them, you or your family at increased risk should they attend
By completing this questionnaire, I understand there may be an increased risk associated with taking part in American football activity and the transmission of Covid-19
 

 

IF YOU HAVE ANSWERED NO TO ALL QUESTIONS PLEASE COMPLETE THE SECTION BELOW