TSA Tournament Covid Screening Questionnaire
This form is compulsory for all TSA tournament players and has to be submitted on the day of each event entered.
* Required
Name and Surname of player
*
Your answer
Email
*
Your answer
Contact number
*
Your answer
City/Town of tournament
*
Your answer
Date of play
*
MM
/
DD
/
YYYY
Province
*
Choose
Northern Cape
North West
Free State
KZN
Limpopo
Mpumalanga
Gauteng Central
Gauteng East
Gauteng North
Cape Town Tennis
Cape Winelands
Eden
Buffalo City
Port Elizabeth
HAVE YOU BEEN IN CONTACT WITH ANYONE THAT HAS HAD COVID-19?
*
Yes
No
DO YOU EXPERIENCE ANY COVID-19 RELATED SYMPTOMS?
*
Yes
No
TO THE BEST OF YOUR KNOWLEDGE, ARE YOU CURRENTLY FREE OF COVID-19?
*
Yes
No
I HEREBY DECLARE THAT I AM FIT, AND IN GOOD HEALTH TO PLAY.
*
Yes
No
I hereby declare that the information I have provided is true and accurate to the best of my knowledge. Please sign with your full name.
*
Your answer
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