OIWFA COVID-19 Screening & Contact Tracing (SPECTATORS)

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The following screening questions must be answered and submitted to the OIWFA before entering the diamond area for any OIWFA games. This screening form is for use by spectators only.

THIS SCREENING FORM MUST BE COMPLETED ON THE SAME DAY THAT YOU ARE ATTENDING THE GAME.

Email *

The OIWFA will maintain an attendance listing record and will be able to assist the universities and Public Health as required with contact tracing. The privacy of OIWFA members and any individual completing this screening form will be strictly maintained. Information will only be released to assist Public Health with contact tracing.

Today's Date *

YYYY

Name (first and last) *

If this screening is for a minor (under 18 years of age), name of parent/guardian (first and last)

Address *

Phone Number *

OIWFA Championship park you're at today *

Drumbo Park (October 23)

Napanee Fairgrounds (October 23)

Brampton Fairgrounds (October 24)

1. Are you currently experiencing one or more of the symptoms below that are new or worsening? Symptoms should not be chronic or related to other known causes or conditions. *

Yes

2. Has a doctor, health care provider, or public health unit told you that you should currently be isolating (staying at home)? This can be because of an outbreak or contact tracing. *

Yes

3. In the last 10 days, have you tested positive on a rapid antigen test or a home- based self-testing kit? If you have since tested negative on a lab-based PCR test, select “No.” *

Yes

4. In the last 14 days, have you been identified as a “close contact” of someone who currently has COVID-19? If public health has advised you that you do not need to self-isolate (e.g., you are fully vaccinated or another reason), select “No.” (Fully vaccinated is defined as an individual ≥14 days after receiving their second dose of a two-dose COVID-19 vaccine series or their first dose of a one-dose COVID-19 vaccine series). *

Yes

5. In the last 14 days, have you received a COVID Alert exposure notification on your cell phone? If you are fully vaccinated or have already gone for a test and got a negative result, select "No." (Fully vaccinated is defined as an individual ≥14 days after receiving their second dose of a two-dose COVID-19 vaccine series or their first dose of a one-dose COVID-19 vaccine series). *

Yes

6. In the last 14 days, have you travelled outside of Canada AND been advised to quarantine per the federal quarantine requirements? *

Yes

7. In the last 14 days, has someone in your household (someone you live with): • travelled outside of Canada AND been advised to quarantine per the federal quarantine requirements; OR • been identified as a ”close contact” of someone who currently has COVID-19 AND advised by a doctor, healthcare provider or public health unit to self- isolate? If you are fully vaccinated, select “No.” *

Yes

8. Is anyone you live with currently experiencing any new COVID-19 symptoms and/or waiting for test results after experiencing symptoms? If you are fully vaccinated, select “No.” If the individual experiencing symptoms received a COVID-19 vaccination in the last 48 hours and is experiencing mild headache, fatigue, muscle aches, and/or joint pain that only began after vaccination, select “No.” *

Yes

Did you answer YES to any questions 1-8 above? *

Yes

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