BRUFC COVID 19 Symptom Checker + Track & Trace
IMPORTANT

• You must include everyone in your family attending the session and entering the grounds, even if you/they are not staying on site for a prolonged period (i.e. this includes those accompanying players, coaches, volunteers etc.)

• You must do this for every session attended.

By completing this form, I consent for the information provided below to be shared with Bicester Rugby Union Football Club (including its staff), and being stored for the sole purpose of providing the COVID-19 Symptom Checker requirement and NHS Track and Trace, and I understand how my data will be used.

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Email *
Your Full Name *
Enter your name, or the name of the person you are filling the form on behalf of. You must fill a separate form in for each individual attending.
Telephone Number *
Date of Visit *
This is the date you are attending training – NOT your date of birth!!
MM
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DD
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YYYY
In what capacity are you attending training? *
BRUFC Section: *
If attending as a parent and you have multiple children on-site, select the age grade you will be spending most of your time with.
Is anyone else from your family attending? *
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