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COVID-19 Health Declaration (MEDIA)
SPRINTRALLY OTEPÄÄ WINTER 2022:
COVID-19 HEALTH DECLARATION
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Contact information
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Step
1
of 2
First and Last name
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First
Last
Date of Birth (Date, month, year)
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Nationality
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E-mail
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Mobile number
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Place of residence (COUNTRY)
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Accommodation during the competition (Name of hotel or address)
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NEXT
Is this person fully vaccinated for the COVID-19 or has he/she suffered the illness of COVID-19 during the last 6 months?
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YES, HE/SHE IS FULLY VACCINATED
YES, HE/SHE HAS SUFFERED COVID-19 DURING LAST 6 MONTHS
NO, HE/SHE IS NOT VACCINATED OR SUFFERED COVID-19
Upload your proof of fully vaccination or proof of suffering COVID-19 in the last 6 months:
Click or drag a file to this area to upload.
NEXT STEPS:
You marked that this person is not fully vaccinated for COVID-19 or he/she is not suffered the COVID-19 in the last 6 months. Due to this, we kindly ask this person to provide us one of these documents: 1) Negative COVID-19 antigen rapid test result certificate (not older than 48h, not earlier than 26.01.2022 at 06:00) or 2) Negative COVID-19 PCR test result certificate (not older than 72h, not earlier than 25.01.2022 at 06:00).
Is this person under 18 years old?
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YES
NO
Have you or someone from your team been in contact with somebody who has been diagnosed of having Covid-19 infection in past 14 days?
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YES
NO
Do you or someone from your team have any of the following symptoms?
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YES
NO
fever over 37,5C | cough | sore throat | shortness of breath, breathing difficulty | sputum production | lack of smell and taste | muscle/joint pain | headache | fatigue/letargy | nausea/vomiting/diarrhoa | nasal congesti
Have you or someone from your team ever had a SARS-Cov-2 TEST with a POSITIVE result?
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YES
NO
When and to whom?
DATA PROTECTION
Confirmation:
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I hereby confirm that all the entered data is correct and everyone's medical condition is good, anyone from the team does not have COVID-19 symptoms or an ongoing case of infection of COVID-19.
Data processing:
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I freely, consciously, specifically and unconditionally give my consent for the Data Controller to process my personal data in order to reduce the risk and prevent contagion from SARS-CoV.
SEND
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