Kings Courts: Pickleball COVID-19 Contact Tracing

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******This form is only for Pickleball******

In Stage 3, some businesses or organizations are required to actively screen patrons as per the advice of the Office of the Chief Medical Officer of Health. The questions in this tool have been defined by the Ministry of Health. This screening cannot diagnose you. If you have medical questions, consult a health care provider. Screening must be completed before using our facilities.

First Name *

Last Name *

How did you hear about Pickleball at Kings Courts? (Website, Instagram, Google Search, Referral) Please indicate referral name. *

Are you currently experiencing any of these symptoms? *

Fever and/or chills

Cough

Shortness of breath

Extreme tiredness

None of the above

Required

Have you tested positive for COVID-19 in the last 90 days? *

Yes

Is anyone you live with currently experiencing any new COVID-19 symptoms and/or waiting for test results after experiencing symptoms? *

Yes

In the last 14 days, have you travelled outside of Canada and been told to quarantine (per the federal quarantine requirements)? *

Yes

In the last 10 days, have you been identified as a “close contact” of someone who currently has COVID-19? *

Yes

I am aware that I need to be fully vaccinated to enter Kings Court Sports Facility Center Corp. I have received both COVID-19 vaccinations *

Yes

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