COVID-19: Fit for Swimming Questionnaire
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Name:
Date *
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2021/2022 Training Group *
Do you have any of the symptoms: cough, shortness of breath, chest pain, difficult breathing, fever, chills, repeated shaking with chills, abnormal muscle pain, headache, sore throat, painful swallowing, runny nose, new loss of taste or smell, gastrointestinal illness? *
Have you travelled outside Canada in the last 10 days and are recommended to quarantine? *
Are you unvaccinated and in the past 10 days have been in close contact with or cared for someone who is being investigated for or confirmed to have covid-19 and is being required to quarantine? *
In the past 10 days have you taken a covid-19 test and are awaiting results or have been required to quarantine?   *
I acknowledge and confirm that I am fit for training and not experiencing any flu-like symptoms and agree to report to the coach if my conditions change *
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