Kürzliche Reisen und medizinische Vorgeschichte

Runner Details
Name*
First Last
Bib number*
You can check your bib number here: http://registration.utmr.ch/grachen-berglauf-entry-list/
Email*
Enter Email Confirm Email
Travel history
Recent locations*
Country Region City / village

Please let us know the locations you have visited in the 14 days prior to your arrival in Grächen (including where you have just come from). Simply click the + button to add another location.
Medical history
Have you come into contact with any person suspected to have COVID-19 within the last 14 days?*
- Yes
- No
Have you had contact with anyone returning from a high risk location in the last 14 days?*
- Yes
- No
You can check the list from the Federal Office of Public Health (FOPH) here: https://www.bag.admin.ch/bag/en/home/krankheiten/ausbrueche-epidemien-pandemien/aktuelle-ausbrueche-epidemien/novel-cov/empfehlungen-fuer-reisende/quarantaene-einreisende.html
Do you have a high temperature?*
- Yes
- No
This means you feel hot to touch on your chest or back. Please note that we will check the temperature of all participants before you are allowed to collect your bib number.
Do you have a new, continuous cough?*
- Yes
- No
This means coughing a lot for more than an hour, or 3 or more coughing episodes in 24 hours (if you usually have a cough, it may be worse than usual).
Do you have a loss or change to your sense of smell or taste?*
- Yes
- No
This means you've noticed you cannot smell or taste anything, or things smell or taste different to normal.
Do you have any other symptoms of respiratory illness - sore throat, shortness of breath, chest pain?*
- Yes
- No
Do you have any of the following symptoms.
- Headache
- General weakness, feeling unwell
- Aching muscles
- Gastrointestinal symptoms (nausea, vomiting, diarrhoea, stomach ache)
- Head cold
- Skin rash
Please check the box ONLY if you have this symptom. Otherwise please leave blank.
Additional information
Please add any additional information that our medical staff should be informed of. Thank you!

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Kürzliche Reisen und medizinische Vorgeschichte

Wir wünschen Ihnen ein tolles und gesundes Rennen! Viel Glück!

Runner Details

Travel history

Medical history

Registration forms

Forms for registered runners

Country	Region	City / village