U18 Balancing - Player Covid Screen Registry

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If have any symptoms or answer YES below to screening questions, please do not come to rink and notify the Registrar at registrar@whalers.org.

Form must be completed within 24hr time frame prior to each event.

Day of Event *

Participant First Name *

Participant Last Name *

Participant is... *

Player

Coach / 2 Deep Volunteer

Safety Rep / Volunteer

Has participant had fever or cough develop in the last 48 hours or ANY of the following symptoms (new or worsening): sore throat, runny nose/congestion, headache or shortness of breath? *

Yes

Has participant had close contact with a known or suspected case of Covid-19 in the past 2 weeks, or awaiting results from a Covid-19 test and advised to self-isolate by Public Health? *

Yes

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