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?
  • 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.