Health Screening Questionnaire
The form is required to be completed and submitted for each participating athlete, coach, and volunteer before participating in any MSRC activities.  

Once completed and submitted it shall be the responsibility of the members to self-assess based on the form questions prior to participating in any MSRC activities for the remainder of the season prior to arriving at the session.  Resubmission of the form is not required.

I agree to truthfully answer the Health Screening Questionnaire below.  
I agree to the terms set by the questionnaire and will treat the Martock Ski Race Representatives with respect should they deny us entrance because of our answers.  
We agree to stay home if we have any symptoms or been exposed to know Covid 19 cases.
We agree that the health questionnaire may be adapted throughout the season as the NS Health Authority guidelines change.  

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Email *
Names
Parent/Guardian Contact (name and phone number) *
If you answer "Yes" to any questions do not attend ski team. *
Yes
No
Are you sick or symptomatic?
Have you travelled outside Atlantic Canada in the last 14 days?
Are you a close contact of a confirmed Covid 19- case?
Are you waiting for Covid -19 test results
I confirm I do not live in HRM or area identified by Public Health
I confirm I have not travelled to HRM areas as identified by public health after 8am Feb 27 for non essential reasons
By selecting Yes,  I understand the risks associated with participating in this activity as they relate to the current Covid-19 virus. As a participant, or as Parent / Guardian of the participant I take full responsibility for understanding and following the procedures and protocols of Martock Ski Race Club and the facility.  As a participant, or as the Parent / Guardian of the participant, I (we) accept the risks involved and will not hold Martock Ski Race Club or Ski Martock Liable should I contract COVID-19 while participating. * *
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