VSC DAILY HEALTH CHECK
(NOTE: Please use the CANLAN Ice Sports questionnaire if your sessions are located there: https://www.icesports.com/questions/)
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Email *
SKATER FIRST NAME: *
SKATER LAST NAME: *
GUARDIAN | PARENT FULL NAME: *
EMERGENCY PHONE or CELL: *
TODAY'S SESSION DATE: *
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TODAY'S SESSION TIME: *
Time
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SKATING FACILITY:   *
Required
QUESTIONS
1 .Are you sick with a cold/flu or are you displaying any signs of COVID-19 and/or flu-like symptoms?

2. Do you have any of the following symptoms which are new or worsened if associated with allergies, chronic or pre-existing conditions: fever, cough, shortness of breath, difficulty breathing, sore throat, and/or runny nose?

3.Have you returned from outside the country (including Canada / USA) in the past 14 days?

4.In the past 14 days, at work or elsewhere, did you have close contact with someone who has a probable or confirmed case of COVID19?

5. In the past 14 days, at work or elsewhere, did you have close contact with a person who had acute respiratory illness that started within 14 days of their close contact to someone with a probable or confirmed case of COVID-19?

6.In the past 14 days, at work or elsewhere, did you have close contact with a person who had acute respiratory illness who returned from travel outside of the country in the 14 days before they became sick?

7. In the past 14 days have you been directed by Public Health to self-isolate?

Do any of the above questions apply to you?   *
If you answere "yes," please call VSC and fill out the next question.
Required
YES Response Requirement: If you answered "yes," please do not come to your session.    Call VSC at 604.924.1134 immediately with your situation. Please leave information in regards to COVID-19 testing and quarantine information or any details that VSC needs to be aware of.   DO NOT ATTEND YOUR SESSION.
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