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Tuesday Health Screening (Winter 2021-2022)
Players (or parents/guardians of players under 18) must fill out this form every Tuesday before 5:00pm for entry into the Sooners MegaDome.
Players are asked to show up no earlier than 10-15 minutes before your game start and depart the Dome no longer than 15 minutes after your game.
Reminder: Full vaccination is required for participation in the league & entry into the Sooners MegaDome.
OCUA Return to Play Protocols:
https://www.ocua.ca/CovidResouceHub
Sooners MegaDome Protocols:
https://www.ocua.ca/system/files/page/Sooner%20Mega%20Dome%20Covid%20Passport%20protocals%20version%202.pdf
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* Indicates required question
Name of Player (First and Last)
*
Your answer
Name of Program or League
*
Grand Masters League
Date of Session
*
MM
/
DD
/
YYYY
Do you have any of the following new or worsening symptoms or signs? Symptoms should not be chronic or related to other known causes or conditions.
*
Fever or chills
Difficulty breathing or shortness of breath
Cough or barking cough (croup)
Sore throat or trouble swallowing
Runny/stuffy nose or nasal congestion
Decrease or loss of smell or taste
Nausea, vomiting, diarrhea, abdominal pain
Headache that's unusual or long lasting
Not feeling well, extreme tiredness, sore muscles
None of the above
Required
In the last 14 days, have you travelled outside of Canada AND been told to quarantine (per the federal quarantine requirements?)
Yes
No
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In the last 5 days (or the last 10 days if you are not fully vaccinated and 12 years of age or older or immunocompromised), Have you or anyone in the household tested positive for COVID-19 on a rapid antigen test or PCR test?
*
Yes
No
In the last 5 days (or the last 10 days if you are not fully vaccinated and 12 years of age or older or immunocompromised), Have you received a COVID Alert exposure notification on your cell phone? If you are fully vaccinated† answer "No."
*
Yes
No
In the last 5 days (or the last 10 days if you are not fully vaccinated and 12 years of age or older or immunocompromised), Have you been identified as a “close contact (high risk contact)” of someone who has tested positive for COVID-19? If you are fully vaccinated† AND DO NOT live with the person who tested positive or has symptoms, answer “No.” If public health has advised you that you do not need to self-isolate, answer "No."
*
Yes
No
If you have answered "YES" to any of the above questions, do not attend your OCUA league game/program.
Visit OttawaPublicHealth.ca/COVID19instructions for more information.
By agreeing, I acknowledge that if at any time after submission of this form and prior to my actual session, any health situation with respect to COVID has changed I will refrain from attending the session.
I agree
I disagree
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Masks must be worn at all times in the facility, except for those who are actively participating. Spectators and unregistered spare players are NOT permitted inside the dome.
I agree
I disagree
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