FAW CLUB COVID-19 Checklist - Return to matches (U6 - 11 age groups ONLY)

The club COVID-19 Compliance Officer must complete this checklist before any inter-club (Club A vs Club B) matches can take place

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* 1. Club Name

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* 2. The club has received and reviewed the FAW Safer Return to Play protocol?

Yes

No

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* 3. Has the Club COVID-19 Compliance Officer changed since submitting previous club checklist?

Yes

No

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* 4. If yes, please detail new Club COVID-19 Compliance Officer?
Contact details will only be used to share FAW COVID-19 related information in line with Club COVID-19 Compliance Officer role description

Name

Email address

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* 5. The club has completed a COVID-19 risk assessment for each of its playing venues in line FAW Safer Return to Play (Version 1) protocol and Government guidelines?

Yes

No

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* 6. The club has shared FAW Safer Return to Play (Version 1) protocols with the following:

	Yes	No
Club officials	Club officials Yes	Club officials No
Coaches	Coaches Yes	Coaches No
Players (youth and adult)	Players (youth and adult) Yes	Players (youth and adult) No
Parents (mini and junior players)	Parents (mini and junior players) Yes	Parents (mini and junior players) No
Facility provider (if applicable)	Facility provider (if applicable) Yes	Facility provider (if applicable) No

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* 7. Signature

Name

Club Role