M2M CovidSafe Declaration

Posted 01 March 2022

M2M CovidSafe Declaration

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:

  • I have been double vaccinated (preferably with a Booster). Minimum Entry Requirement. I agree to present my Covid-19 Vaccination Certificate to my M2M Official for verification.
  • I have NOT tested positive to Covid-19 or any variant within the last 14 days.
  • I have not had contact with anyone in the last 14 days who has been diagnosed with COVID-19 during those 14 days.
  • I have not travelled outside of Australia within the last 14 days.
  • I am not experiencing any symptoms of COVID-19 including but not limited to: cough, shortness of breath or difficulty breathing, fever, chills, muscle pain, malaise, headache, sore throat, loss of sense of smell or taste.
  • I am not required to be in isolation while waiting on a Covid-19 Test result.

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)________________________________________

Your Signature___________________________________________

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.

M2M Official:________________________________________________________________

Signature of M2M Official:_____________________________________________________

Date:_________________________

Thankyou for helping to keep the M2M participants and volunteers safe.

2022