Ashgrove Rangers » Training Registration

To comply with the current Queensland Government regulations as set out in the Stage 3 Roadmap and Outdoor Sports Industry COVID SAFE Plan we are required to record contact information for everyone who attends the training. This includes spectators and coaches. This information will be kept for 56 days and then deleted.

Training Registration

Training Date*
First Name*
Last Name*
Telephone*
Email*
Role*
- Athlete
- Coach
- Spectator
Registered with Queensland Athletics ?:
- Yes
- No
Waiver*
- I confirm that I have read the Event Waiver below in its entirety.
I have not travelled overseas or to any known hotspots / been exposed to a person with COVID-19 in the preceding 14 days.

I agree that I do not feel unwell, and don’t have flu/cold like symptoms such as fever, cough, sore throat, shortness of breath, loss of smell or taste, muscle and joint pain, diarrhoea, vomiting or loss of appetite.

I agree that if I do begin to feel unwell, have cold/flu like symptoms such as fever, cough, sore throat, shortness of breath, loss of smell of taste, muscle and joint pain, diarrhoea, vomiting or loss of apetite I will contact Queensland Athletics immediately.

I consent information from this form can be used by venue owners and government agencies for COVID-19 contact tracing as part of the public health response. I agree to abide by all the Rules and By Laws of Queensland Athletics, Athletics North Queensland, and Athletics Australia.
Comments
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