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Step Rock ASC. Self Declaration for Returning to Training

Due to the ongoing outbreak of COVID-19 Step Rock ASC is adhering to guidance from Scottish Government and Public Health Scotland in containing the virus and ensuring a safe environment for swimmers, volunteers, family members and FSLT staff. The club’s Lead COVID-19 Officer is Sharon Hedley (covidofficer@steprock.org.uk; 07769 754915).

Scottish Swimming accepts that it is not possible for any sport to eliminate the risk of the spread of the COVID-19 virus completely and will work with all stakeholders to minimise risk; this concept must be fully understood and accepted by all Scottish Swimming members who wish to return to the water and resume aquatic activities.

The purpose of this document is to ensure everyone has considered the relevant risks and the required protocols and behaviours required to return to the water as safely as possible. Please answer the following questions .

You only need to complete this form once prior to returning to training but it is important that each individual completes the form. For families with more than one member, please ensure that the survey is completed by each member separately.

Secured
1

Please type in the full name of swimmer/ volunteer

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2

Please provide up to date emergency contact details (full name and contact number)

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3

Please tick the box which describes the PRIMARY role you have at Step Rock ASC

e.g. If you are a swimmer who also coaches, please select Swimmer
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4

Which squad are you in?

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5

Please answer YES/ NO to the following statements

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You will now be asked a series of YES/ NO questions. Please read them carefully and answer them honestly. Please also be aware that if you answer NO to any of these questions, you will not be able to return to the pool.

6

Have you attended a club Zoom call about returning to training and / or watched the club information video and understand the information and agree to comply with it.

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7

Do you acknowledge the risk of COVID-19 and that you are 'returning to the water' at your own risk?

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8

Do you acknowledge that you play a vital role in minimising the spread of COVID-19, over and above the measures implemented by the club?

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9

Do you agree to adhere to current physical distancing guidelines (and ongoing guidelines as they are amended) on your travel to and from the training venue and at the training venue?

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10

Do you agree to adhere to all COVID-19 notices at the pool, to all Scottish Swimming, Club and facility COVID -19 measures at the pool and agree to abide by any directions given by club officers while on the premises specific to COVID-19 health and safety measures?

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11

If, at any time, you have or suspect that you have any symptoms of COVID-19, or believe that you have been in contact with an individual with COVID-19 in the last 14 days, do you agree to cease training, isolate immediately and contact the club COVID-19 Lead Officer and follow the appropriate medical advice?

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12

Do you agree to complete the COVID-19 Health Screen Survey before attending your first training session and thereafter if you have a change to your general health or circumstances?

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13

Please indicate below that you understand all of the previous questions and have answered them correctly

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