COVID-19 Daily Health Screening
Complete this screening on the day of your club or team event. Do not attend if you have symptoms consistent with COVID-19, have been exposed to someone with COVID-19, or have tested positive for COVID-19.

Complete one submission for each attendee - please do NOT combine siblings or other family member on one submission.

Each attendee must be prepared to show their confirmation of screening e-mail at the point of entry.
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Email *
Attendee's first and last name *
Facility *
Date of Visit *
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Screening Questions
No individual may attend the team or club event if they answer YES to any of the screening questions below or show symptoms that may, or may not, be related to COVID-19. Screenings must be done on the day of the event, one screening per person.
In the last 14 days, have you travelled outside of Canada? If exempt from federal quarantine requirements, select No. *
Has a doctor, health care provider, or public health unit said you should currently be isolating (staying at home)? *
In the last 14 days, have you been identified as a close contact of someone who currently has COVID-19? If you have tested negative and Public Health has advised you that you no longer have to isolate, select No. *
In the last 14 days, have you received a COVID Alert exposure notification on their phone? If you already went for a test and got a negative result, select No *
Are you currently experiencing any of these symptoms that are not related to other known causes or conditions they already have: *
Required
A copy of your responses will be emailed to the address you provided.
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