Exeter Swimming & Water Polo Club Health Questionnaire

This form must be completed before returning to training. It must have been received into the data bank before you will be permitted to return. The form must be completed by an adult 18 years of age on their own behalf or behalf of their child.

Have you had confirmed Covid-19 infection or any symptoms (listed below) in keeping with Covid-19 in the last five months? Please tick any symptoms experienced.

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