Spring Covid Form
If you answer yes to any of the following, please do not attend your skate!
If you have any questions, or answered yes, please contact headtrainer@mlac.net

Ensure this form as well as the NAIT check in is done if you are skating there.
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Please select practice date *
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DD
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Player OR Coach Full Name *
Please select which team you are a part of right now *
Do you have a fever? *
Do you have a cough? *
Are you experiencing shortness of breathe? *
Do you have a runny nose? *
Do you have a sore throat? *
Do you have chills? *
Do you have pain when you swallow? *
Do you have nasal congestion? *
Do you feel fatigued/unwell? *
Are you experiencing diarrhea/vomiting/nausea? *
Do you have an unexplained loss of appetite? *
Loss of taste or smell? *
Do you have muscle/joint pain? *
Do you have a headache? *
Do you have pink eye? *
Have you been outside Canada in the last 14 days? *
Have you been in close contact with someone who was tested positive for COVID, in the last 14 days? *
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