Posted 01 March 2022
Copy of the Rider & Support Crew CovidSafe Declaration
Rider & Support Crew Covid – 19 Declaration - 2022
Must be completed less than 24 Hours before the event.
Team Captains MUST return all Declarations to the Ride Director before the
Start of the Event on Saturday Morning!
By signing this Declaration, you are acknowledging that:
I declare that to the best of my knowledge:
During the ride I agree to comply with all applicable laws and regulations relating to the control of COVID-19 as well as any directions given by the Organisers, their agents, employees or authorised volunteers.
If during the ride, I experience any symptom of COVID-19 or I become aware that my above declarations are no longer true I will immediately withdraw from the Ride. Take appropriate steps to isolate myself. Arrange to be tested for COVID-19 as soon as practically possibly and if I am diagnosed as having COVID-19 inform the organisers of the event of the diagnosis as soon as practically possibly.
If I experience any symptoms leading up to the event, I am required to complete a RAT (Rapid Antigen Test) at least 24 hours before the start. If I test positive, I will withdraw from the event, as required by the Department of Health and Human Services regulations.
Your Name (Print)________________________________________
Mobile Contact No:________________________________________
M2M Team No:_________________
IF YOU CANNOT MEET THE ABOVE CRITERIA PLEASE LET YOUR TEAM CAPTAIN KNOW AND WITHDRAW FROM THE 2022 MURRAY TO MOYNE CYCLE RELAY.
Covid-19 Vaccination Certificate Verification:
I can verify that I have sighted the vaccination status of the above M2M participant (Green Tick) either electronically (Mobile Phone) or via a paper vaccination certificate.
Signature of M2M Official:_____________________________________________________
Thankyou for helping to keep the M2M participants and volunteers safe.