COVID-19 Self Assessment Player Details Player Name (required) Coalville Town Team: -WildcatsGoalkeeper TrainingSoccer SoccerU23 Ravens (Saturday)U18 Ravens (Midweek)U18 RavensU17 RavensU17 RooksU16 RavensU16 RooksU15 RavensU14 RavensU13 RavensU12 RavensU12 RooksU11 RavensU11 RooksU10 RavensU10 RooksU9 RavensU9 RavensU9 RooksU9 RobinsU8 RavensU8 RooksU8 RobinsU8 RuffsU7 RavensU7 RooksU7 RobinsOpen Ladies RavenettesU18 Ravenettes (Sat)U16 RavenettesU15 RavenettesU14 RavenettesU14 RookettesU13 RavenettesU13 RookettesU12 RookettesU12 RookettesU11 RavenettesU10 RavenettesU10 RookettesU9 RavenettesU9 RookettesU8 RavenettesU7 Ravenettes Each participant should self screen prior to arrival at Owen Street to ensure they do not have any of the following symptoms (Confirmed by a parent for those Under 18), as these are potential indicators of COVID 19 infection A high temperature (Above 37.8 C). YesNo A new continuous Cough YesNo Shortness of breath YesNo A sore throat YesNo Loss of or change in normal sense of taste or smell YesNo Feeling generally unwell YesNo Been in close contact with/living with a suspected or confirmed case of COVID-19 in the previous 2 weeks (14 days) YesNo Have you returned from one of the countries where you require to self isolate in the last 14 days? YesNo *If you have travelled to a country that requires 14 days quarantine you must not attend any training or matches during this period