You must fill in this form prior to attending Bath Sword Club training sessions. We are only asking you to fill this form in once but please be aware that you should contact the club if you contract Covid-19 after attending a session or if any of the answers you give below changes before you attend your next session. Due to track and trace requirements you will need to submit a separate form with your email address every 21 days to confirm nothing has changed (if anything does change please fill in this form again, or contact us to let us know)

There are 2 sections

• The 'Contact details' section will be used both to comply with track and trace requirements and to update our membership records

• The 'Confirmation that I am fit to participate' section is a list of requirements that have become necessary due to the Covid Pandemic

Should you want us to delete this data from our records at a later date please contact us and we will delete any records we keep after the mandatory 21 days track and trace requirement.

Please complete the form to confirm that

• you do not have symptoms

• you understand your responsibilities should you develop symptoms

• you understand the requirements on you regarding preparedness for training sessions

Contact details

Name: (required)

Mobile Contact Number: (required)

Email: (required)

BF Membership Number:

Membership Category: (required)
JuniorSeniorStudentVisitor

Date of Birth:

Address:

Confirmation that I am fit to participate

Please check the boxes beside each statement to confirm you have read and agree to each statement. If you cannot agree to any of these statements please do not travel to any sessions until you are able to agree. If you are in any doubt please contact the club COVID-19 officer (Tim Miles) for more advice.

1. I am not experiencing any Covid-19 symptoms (listed below)

• Fever

• New, persistent, dry cough

• Shortness of breath

• Loss of taste or smell

• Diarrhoea or vomiting

• Muscle aches not related to sport/training

2. I have not been diagnosed with COVID-19 within the last 4 weeks

3. I have not had any known exposure to anyone with confirmed or suspected Covid-19 in the last two weeks (e.g. close contact, household member)

4a. I have no underlying health issues.4b. I have underlying health conditions, but I have consulted with a medical professional and am advised it is safe for me to return to fencing. I will provide a copy of this letter to the Club welfare officer (if requested).

5. I have read and agree to the club COVID-19 briefing/instructions/policy (the temporary rules imposed during the pandemic can be found here)

6. I acknowledge that I am responsible for providing my own equipment and this has been appropriately cleaned since last use.

7. I will bring my own sanitiser and follow all hygiene protocols, including ensuring that on arrival I wash/sanitise my hands.

8. I agree bring my own 1st Aid kit to self-treat any injuries.

9. I agree to follow and keep up with information from the club Website and the Club Facebook Page.

10. I agree to sign up for my fencing session in advance via the club website/mobile App.

11. I agree to follow all instructions given by facility or club officials at the session.