SDC Health Questionnaire

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SASKATOON DIVING CLUB IS COMMITTED TO MAINTAINING A SAFE TRAINING AREA FOR EVERYONE.
In light of recent Coronavirus (COVID-19) developments, access to the training area is limited.

This Health Questionnaire must be completed by all athletes, coaches and others accessing the Training Area.

PROCEED HOME IF YOU:
- Are experiencing problems with breathing, have a cough or fever (temperature over 37.9C or 100.4F)
- Develop these symptoms while training.
- Answer 'Yes' to any of the questions pertaining to travel and/ or contact with others diagnosed with COVID-19

NOTIFY YOUR COACH IMMEDIATELY IF YOU ANSWER 'YES' TO ANY OF THE QUESTIONS ABOVE & BELOW.

Participant Full Name *

Training Date & Time *

YYYY

Time

Who is your Coach? *

I am a Coach

Steve Carroll

Mary Carroll

Tyler Boechler

Kayla Boechler

Quinn Gariepy

Marina Schmidt

Ali Cey

Lauren Cey

Sydney Hesselberg

I am a Parent

Which Training Area would you like to access? *

Shaw Center

Harry Bailey

George Ward (Outdoor Pool)

Riversdale (Outdoor Pool)

Field Training (Outdoor)

Enter Temperature (number only) *

Is Temperature above 37.9C/ 100.4F? *

Yes

Are you experiencing any of the following NEW or WORSENING respiratory symptoms (cough, shortness of breath, difficulty breathing, sore throat, runny nose)? *

Yes

Are you experiencing any of the following NEW atypical symptoms (chills, aches, pains, headache, loss of sense of smell or taste)? *

Yes

Have you tested positive for COVID-19 (if cleared by health professional, select No)? *

Yes

In the Past 14 days, have you had direct contact with anyone showing the above symptoms of Coronavirus (COVID-19) or has tested positive for Coronavirus (COVID-19)? *

Yes

In the past 14 days, have you or anyone in your family returned from travel outside of Canada? *

Yes

Have you been made aware of the following COVID-19 protocols in place in all Training Areas? (Please tick off each item to acknowledge your understanding. See your Coach for additional information if needed.) *

Physical Distancing - Stay 2m (6ft) from others at all times.

Masks required (new non-reusable type or clean reusable type) when Physical Distancing is not possible

Good Hand Hygiene - Wash hands frequently & sanitize upon entering training area.

Disinfectant Protocols - all shared surfaces, mats and equipment must be disinfected after each use.

Personal Belongings - No storage of loose personal items in the training area.

Report any sudden onset of symptoms or change to your health status to your coach.

Required

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