Covid 19 Declaration

Before standing in any game this season, please email the following to lcusaappointments@gmail.com

Matt,

I’m free from Covid-19 symptoms and I’m travelling to (the home club) today.

In the last 14 days:

  • I haven’t been diagnosed with confirmed or suspected Covid-19 infection.
  • I am not waiting for a test result relative to Covid-19.
  • I haven’t travelled abroad.
  • I haven’t been advised by the HSE that I have been in close contact with a person who is a confirmed
  • or suspected case of Covid-19 
  • I haven’t been advised by a doctor to self-isolate.
  • I haven’t been advised by a doctor to cocoon.
  • I don’t have symptoms of cough, fever, high temprature, sore throat, runny nose or flu-like symptoms

Regards,

(Your Name)

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