Session Details

Please let us know which session/match you are filling in this form for. You must complete one form for every session/match you will be attending. The form must be completed on the day of the session.

Session description

Date of Session/Match

YYYY

COVID Self-Check Questionnaire

Before the sessions begin parents and guardians of players will confirm the below is fully acknowledged and in agreement by signing below. This will mean they understand our expectations of communication around our Self-Check Questionnaire process. Self-checks will be important to prevent transmission among people who are unaware that they are carriers of the virus. If you have been told to isolate (due to COVID19) from school you should not attend any football activity with us (Girls United FA) or any other provider. You are asked to confirm that none of the following symptoms have been present or currently present; the player or within the player’s households during 2 weeks ahead of the session...

... has a high temperature (above 37.8 degrees)

Yes

... has developed a new continuous cough

Yes

... has shortness of breath or a sore throat

Yes

... loss of or change in normal sense of taste or smell

Yes

... is feeling unwell

Yes

... is experiencing persistent tiredness

Yes

Please read the following before signing

Before each session this will be checked before players are allowed to be signed into the group for their session. This will be led by the Head Coach of the session asking each player and parent/guardian during the sign in process. Any player or player’s households that are currently showing any symptom or have been symptomatic within 2 weeks of the session date, the player should not attend the Girls United FA session and should remain at home and follow NHS advice. Any players who become symptomatic during the session should be immediately removed from the session and taken home as soon as possible. This will also result in being shared with other players and parents from their bubble training group. By signing this the player and their parent / guardian agree to the above and will communicate all updates with this to the Girls United FA team via email (london@girlsunitedfa.org) or telephone (07534732201).

Player's Full Name

First Name

Last Name

Parent/Guardian's Full Name

First Name

Last Name

Parent/Guardian's Email

Parent/Guardian's Initials

Today's Date

YYYY

By checking this box I confirm that I understand the risk in allowing my child to take part in Girls United training sessions/matches

Yes