Formularios - V Line Organización de Eventos

COVID DECLARATION

The undersigned, participant in the 8é RALLY LLORET DE MAR, under his own responsibility for all legal purposes;
DECLARES:
in accordance with current legislation, as well as the COMPLEMENTARY HEALTH PROTOCOL FOR SECTORAL REINFORCEMENT OF THE FEDERACIÓN CATALANA AUTOMOVILISMO (PSCRS-FCA) for the adaptation of the sport of motor racing and its return to normality, and with the main objective of preservation of the health of all and the return to training and the restart of federated and professional competitions, for safety in competitions in relation to the risk of Covid-19, I have been informed and I accepted that access to the area will not be allowed of the competition if a person:
• is subject to quarantine measures
• have active Covid-19
• have or have had a body temperature greater than 37.5 ° in the past 5 days
• have or have had any of the other symptoms in the past 5 days, namely: a sharp reduction in taste (flavors), strong reduction in odor (odors), dry cough, shortness of breath, severe exhaustion, nasal congestion, pain in head, diarrhea.
• has been in direct contact with people who are positive for Covid-19 in the previous 14 days, or with their own relatives, although asymptomatic.

NAME AND SURNAME*

IDENTITY CARD*

TELEPHONE*

E-mail contact*

DRIVER CODRIVER ASSISTANCE ORGANITZACIÓ OFICIAL DIRECCIO DE CARRERA OFICIAL RADIO SERVEIS SANITARIS - GRUA MOSSOS D'ESQUADRA PRESS

IN CAS D'ASSISTÈNCIA, INDICATE THE PILOT'S NOM

It is subject to Covid19 quarantine* YES NO

Covid-19 in process* YES NO

Have or have had a fever in the last 14 days with temperatures> = 37.* YES NO

Have or have had a loss of smell or taste in the past 14 days* YES NO

You have or have had a dry cough in the past 14 days.* YES NO

Have or have had trouble breathing in the past 14 days.* YES NO

Have or have had severe fatigue in the past 14 days.* YES NO

Have or have had a stuffy nose in the past 14 days* YES NO

Have or have had a headache in the past 14 days.* YES NO

Have or have had diarrhea in the past 14 days.* YES NO

The last 14 days he has been in contact with people with positive Covid19* YES NO

In the affirmative case, from one of the last questions, is that person's current immune status? Test date and its result

In the affirmative case of three conditions of the questionnaire, you will have to prove the negativity of Covid19 by means of a PCR test carried out in the last 5 days or by serology in the last 14 days. Date and result...

And it undertakes to promptly communicate to the Chief Medical Officer or Health Security Coordinator of the 8é RALLY LLORET DE MAR test any change in the statements issued today and to comply with all the provisions of current legislation, as well as Resolution May 4th 2020, of the Presidency of the Higher Sports Council, which approves and publishes the Basic Protocol of action for the return to training and the restart of federated and professional competitions, and the Complementary Health Protocol of Sectorial Reinforcement of the Federació Catalana Automobilisme

DATE*

I declare that all the data entered and indicated are correct and true

I have read and I accept the privacy policy.*

I agree to receive information on the activities, services and products of V Line Organización de Eventos, SL.

Basic information on data processing (Regulation (EU) 2016/679 and Organic Law 3/2018)

Party responsible for data processing: V Line Organización de Eventos, SL.

Purpose: To offer, provide and invoice our services and products.

Lawful basis for processing: Consent of the data subject.

Recipients: The data will not be transferred to third parties, unless its transfer is required by law or is necessary in order to fulfil the purpose of the processing.

Rights: Access to, rectification of and erasure of data, along with all the other rights listed in the privacy policy.

More information in our privacy policy.

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