Covid-19 Declaration – Dubai Hurricanes

The form below must be submitted prior to every training session, match or club event – but NO MORE THAN 24 HOURS IN ADVANCE – one form is required per player or volunteer.

Please note that the wearing of masks in line with UAE government directives continues to be compulsory – to ensure you are compliant with all Covid related directives you can review current requirements at https://www.ncema.gov.ae/

IF YOU ARE UNABLE TO CONFIRM YOU ARE COVID AND SYMPTOM FREE, OR AWAITING THE OUTCOME OF A PCR TEST FOLLOWING POSSIBLE ‘CLOSE CONTACT’, PLEASE DO NOT ATTEND.

Feel free to contact medical@dubaihurricanes.com for further information.

Submit Covid Declaration - Players and Volunteers

Name *

First

Last

Gender *

Phone *

What's the best number to contact you on?

Role *

Squad Selection *

Please confirm the squad you are associated with.

Training, match or event Date / Time *

Date

Time

Declaration *

I declare that (see below)

((1)) I have not been diagnosed with nor do I believe that I have COVID 19 ((2)) Should I have travelled outside of the UAE in the past 14 days I am in possession of a Negative PCR Test Certificate ((3)) I have had none of these symptoms in the past 7-days:- a. Fever/temperature above 37.5 degrees centigrade - b. A new continuous cough - c. Unexplained shortness of breath - d. Loss of taste or smell ((4)) I have not been in contact with a COVID 19 confirmed or suspected case in the previous 7 days ((5)) I have no other respiratory disease or immunodeficiency.