Dabchicks Personal Location Form - Dabchicks Sailing Club

In line with our Risk Assessment, each individual must complete this form regularly before participating in Dabchicks Dinghy Racing or Social Sailing. The information is only for the Dabchicks Sailing Committee.

If you have not participated in a Dabchicks dinghy event for 6 days we would ask you to complete the form again.

e.g 1. If you Race on Monday and Social Sail on Thursday, you would complete the form once,

e.g 2. If you are dinghy social sailing/racing with Dabchicks once a week, then it should be completed before every occasion.

Event Personal Location Form

Name*
First Last
Date of Event*
Date Format: MM slash DD slash YYYY

Within the past 14 days have*

	Yes	No
You or your crew had any symptoms of Coronavirus disease Covid 19 in the past 14 days
You or your crew provided direct care for Covid 19 patients
You or your crew worked in close proximity or in a closed environment with a Covid 19 patient