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Sunday Womxn League Health Screening
Players (or parents/guardians of players under 18) must fill out this form every Sunday before 5:00pm for entry into the Ben Franklin Dome.
Players are asked to show up 10-15 minutes before your game start - and to wait in the "waiting zone". This allows players to vacate the dome without players entering at the same time.
OCUA Protocols:
https://docs.google.com/document/d/1sdE3J2WwdgDLAO74ZgcaeVSusoFQjKGvto0fWzjymOA/edit?usp=sharing
Ben Franklin Dome Protocols:
http://benfranklinpark.ca/covid-19-response/
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* Indicates required question
Name of Player (First and Last)
*
Your answer
Date of Session
*
MM
/
DD
/
YYYY
In the last 14 days, have you traveled outside of Canada or have you had close physical contact with a person who has returned from travel outside of Canada?
*
Yes
No
In the last 14 days, have you attended an event or gathering (including sports tournament) other than those which are permitted under Ontario's current re-opening phase?
*
Yes
No
In the last 14 days, have you had close physical contact with a person who was a confirmed or probable case of COVID-19?
*
Yes
No
Do you have any of the following new or worsening symptoms or signs? Symptoms should not be chronic or related to other known causes or conditions.
*
Fever or chills
Difficulty breathing or shortness of breath
Cough or barking cough (croup)
Sore throat or trouble swallowing
Runny/stuffy nose or nasal congestion
Pink eye
Decrease or loss of smell or taste
Nausea, vomiting, diarrhea, abdominal pain
Headache that's unusual or long lasting
Falling down often
Not feeling well, extreme tiredness, sore muscles
None of the above
Required
By agreeing, I acknowledge that if at any time after submission of this form and prior to my actual session, any health situation with respect to COVID has changed I will refrain my group from attending the session.
*
I agree
I disagree
Masks must be worn at all times in the facility, except for those who are actively participating. Spectators and unregistered spare players are NOT permitted inside the dome. Parents or guardians may request special entry by emailing
info@ocua.ca
.
*
I agree
I disagree
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