FROGS Youth weekly health assessment/consent

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Email *

Information

Which meeting date are you registering for (put todays date) *

Enter the first & last name of all those attending- 1 person per form. *

Health Self assessment:

By submitting this form, I confirm that nobody listed above: 1) Is exhibiting COVID-19 symptoms such as fever, worsening cough, shortness of breath, sore throat, chills, headaches, extreme fatigue, nausea, vomiting, pink eye; 2) Has tested positive for COVID-19 or had close contact with anyone with COVID-19; or 3) Has traveled outside of Canada in the past 14 days. *

All people listed above have completed self assessment

Required

Consent:

I give parental consent for my child/guardian to attend in person youth *

yes

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