FCKC Screen and Sign in, COVID-19
Fort Langley Paddle Sport Facility at Bedford Channel
Contact us at fortcanoekayak@gmail.com

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Are you going to practice today? *
Name *
Date *
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DD
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Time of practice *
Time
:
Phone number *
Are you experiencing cold, flu or COVID-19-like SYMPTOMS, even mild ones?                                Symptoms include: Fever, chills, cough or worsening of chronic cough, shortness of breath, sore throat, runny nose, loss of sense of smell or taste, headache, fatigue, diarrhea, loss of appetite, nausea and vomiting, muscle aches. While less common, symptoms can also include: stuffy nose, conjunctivitis (pink eye), dizziness, confusion, abdominal pain, skin rashes or discoloration of fingers or toes. IF YES, PLEASE FOLLOW THE ADVICE OF PUBLIC HEALTH. *
Have you travelled outside Canada in the last 14 days? IF YES, PLEASE FOLLOW THE ADVICE OF PUBLIC HEALTH. *
Did you provide care or have close contact with a person with confirmed COVID-19? IF YES, PLEASE FOLLOW THE ADVICE OF PUBLIC HEALTH. *
If you have passed the COVID screen and are ok to paddle today, please come on down! We ask you follow the well-advertised infection-control protocols, including, but not limited to, hand hygiene, social distancing, and boat sanitizing. If we all follow these rules, hopefully we can keep using the dock! *
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