Sunday Cycle - Personal Screening Declaration
If you answer YES to the questions in the Covid Symptoms section you should stay at home and inform your
medical practitioner. Please review and confirm you are symptom free below.
Section 1 - Covid Symptoms
Are you currently diagnosed with or believe you may have COVID-19?
Have you had any of these symptoms of COVID-19 in the past 14 days?
Provided direct care for COVID-19 patients in the past 14 days?
Visited or stayed in a closed environment with anyone with COVID-19 in the past 14 days?
Travelled together with COVID-19 patient in any kind of conveyance in the past 14 days?
Arrived in Ireland from another country in the last 14 days – this includes Irish citizens travelling home?
Section 2 - You must agree to the following conditions to attend club training. Please review and confirm below
medical practitioner. Please review and confirm you are symptom free below.
Section 1 - Covid Symptoms
Are you currently diagnosed with or believe you may have COVID-19?
Have you had any of these symptoms of COVID-19 in the past 14 days?
- High temperature (fever)?
- A new continuous cough?
- New unexplained shortness of breath?
Provided direct care for COVID-19 patients in the past 14 days?
Visited or stayed in a closed environment with anyone with COVID-19 in the past 14 days?
Travelled together with COVID-19 patient in any kind of conveyance in the past 14 days?
Arrived in Ireland from another country in the last 14 days – this includes Irish citizens travelling home?
Section 2 - You must agree to the following conditions to attend club training. Please review and confirm below
- I have reviewed the relevant protocols issued by Triathlon Ireland and agree to comply with them.
- I acknowledge the risk of COVID-19 and I am attending club activities at my own risk.
- I confirm I will not attend training if I have any COVID-19 symptoms, and if Itest positive for COVID-19 I will advise my club’s Lead COVID-19 Officer.
- If I am aware that I am a close contact of a COVID-19 case I will follow the guidance outlined by HSE and I will contact my club’s Lead COVID-19 Officer should I be required to self-isolate.
- I agree to adhere to all COVID-19 notices at the facility, agree to adhere to all TI, club and the facility’s COVID-19 measures and agree to abide by any directions given by all club officers/ coaches while on premises specific to COVID-19 health and safety measures.
- I agree that if travelling abroad I will comply with the current Government Covid advice on international travel specific to the country you arrived from.