Checklist Course Participants

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Checklist Course Participants | Dryland Training

Due to COVID-19 Pandemic we are required to ask you to submit the following checklist 24hrs or less before your training session, each week. If you answer yes to any of the below, please stay home and use the AHS Online Assessment Tool to determine if testing is recommended: https://albertahealthservices.ca

Your instructor and the Canadian Birkebeiner Society will keep each completed forms for a minimum of two weeks for contact tracing purposes.

General requirements for participation in group training activities
• No signs or symptoms of COVID-19 in the past 14 days. If an individual has had a
case of documented COVID-19, confirmation indicating they are no longer positive for COVID-19 and are cleared for group training participation is required from a health professional.
• No close sustained contact with any sick individual within 14 days of beginning group training.

General Guidelines:
At this time, all group training for XC skiing should take place outdoors in settings that allow for physical distancing protocols to be met.
• Participants may only train with their primary training group/cohort. Athletes that train with a cohort in another location may continue to train with that cohort provided they do not train with any other groups. Provincial travel for training purposes is not permitted at this time.
• To limit the number of contacts any individual has, athletes must choose one sport to train for. Athletes are currently not allowed to be involved with multiple training groups.
• There must be no physical touching including high-fives, handshakes, sharing of equipment etc.
• Participants should avoid touching their face, particularly eyes, mouth, and nose
• Avoid contact with people who are sick
• Stay home if you are sick
• Avoid high-touch areas, where possible, and wash your hands after contact

Email *

Does the person attending the activity have any of the following symptoms: (Please tick the answer that applies) *

Yes

Fever

Cough – new or changed

Shortness of Breath/ Difficulty Breathing – new or changed

Sore throat

Chills

Painful swallowing

Runny nose/ Nasal congestion – new or changed

Feeling unwell/ Fatigued

Nausea/ Vomiting/ Diarrhea

Unexplained loss of appetite

Loss of sense of taste or smell

Muscle/ Joint aches – unexplained and unrelated to physical activity

Headache

Have you, or anyone in your household, travelled outside of Canada in the last 14 days? If so and the individual travelled for work and is not displaying symptoms, you may circle no. *

Yes

Please tick the answer that applies

Have you had close unprotected contact (face-to-face contact within 2 meters/ 6 feet) with someone who is ill with cough and/or fever? *

Yes

Please tick the answer that applies

Have you or anyone in your household been in close unprotected contact in the last 14 days with someone who is being investigated or confirmed to be a case of COVID-19? *

Yes

Please tick the answer that applies

Please submit the current date *

YYYY

Please submit the current time *

Time

Please fill in your first and last name *

Please fill in your telephone number *

A copy of your responses will be emailed to the address you provided.

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