GLENARIFFE CRC/GYM 208 HEALTH & SAFETY DECLARATION
To be completed before you undertake any form of exercise or activity at Glenariffe Community & Recreation Centre from 19 April 2021.
  • Yes No
    Have you been diagnosed with or do you believe you may currently have COVID-19?
    Have you been in contact with a COVID-19 confirmed or suspected case in the past 10 days?
    Have you had any signs of a temperature higher than normal (ie over 37.5C in the past 10 days?
    Have you experienced any new unexplained shortness of breath in the past 10 days?
    Have you developed a new or continuous cough in the past 10 days?
    Have you experienced any change to your sense of smell or taste the past 10 days?
    Have you developed any flu type symptoms over the past 10 days?
  • If you have answered YES to any of these questions, or if your temperature as recorded today is over 37.5°C, you must not attend any form of exercise or activity organised by Gym 208 or Glenariffe Community & Recreation Centre. You should stay at home and contact your GP by phone for further advice.
  • Thank you for completing this Health & Safety Declaration.