COVID-19
WELSH JUDO SELF DECLARATION FORM
This form must be utilised to allow contact tracing and to ensure that you are free from Covid19 symptoms and pose a limited risk to others
​
It is important that once you have completed and signed this form that you send to or hand over to the person at your club or venue responsible for processing.
​
To avoid virus transmission, an electronic version of the form is recommended and where possible sent back to the club via email or other electronic means.
• I have not had a positive test for COVID-19 or onset of symptoms of COVID-19 in the last 10 days. (Individuals who have completed their period of isolation (10 days) and have no remaining symptoms (other than a dry cough or loss of taste or smell which can last for some time) may return to normal activities)
• No member of my household has had symptoms of COVID-19 or has tested
positive for COVID-19 in the last 14 days
• I have not been contacted by a contact tracer from the Test, Trace and Protect Programme and told to isolate in the last 14 days as a contact of someone with confirmed COVID-19
• I have not returned from a country outside of the UK in the last 14 days, other than those on the exempt list
(https://gov.wales/exemptions-self-isolationcoronavirus-covid-19-html)