U12- UOVRA & RINGETTE ONTARIO DAILY COVID-19 ATTESTATION AND AGREEMENT               Updated September 4, 2021
Ringette Canada, Ringette Ontario and The Upper Ottawa Valley Ringette Association (UOVRA) are defined as the “Organization”.

By checking the Attestation and Agreement box below, the Participant or the Participant’s Guardian agrees that while attending or participating in the Organization's events or attending at the Organization’s facilities, the Participant:

1.   Will follow the laws, recommended guidelines, and protocols issued by the Government of the Province in respect of COVID-19, including practicing physical distancing, and will do so to the best of the Participant’s ability while participating in the Organization's events or attending at the Organization’s facilities;
2.   Will follow the guidelines and protocols mandated by the Organization in respect of COVID-19;
3.   Will follow the guidelines and protocols mandated by the Facility in respect of COVID-19;
4.   Will, in the event that the Participant experiences any symptoms of illness such as a fever, cough, difficulty breathing, shortness of breath or malaise, immediately:
       a.    inform a representative of the Organization; and
       b.   depart from the event or facility.


UOV will be using the Renfrew County District Health Units Daily COVID-19 Screening Tool for Businesses and Organizations (Screening Patrons) as a tool to detemine whether your child or yourself should be attending any UOV events.

Ministry of Health - COVID-19 Screening Tool for Businesses and Organizations (Screening Patrons)
Version 8: August 27, 2021

This tool provides basic information only and contains recommendations to support decision making by parents about whether their child or themselves should attend UOV events and/or needs to be tested for COVID-19. This can be used to assess symptoms of any child or individural who attends UOV events. It is not to be used as a clinical assessment tool or intended to take the place of medical advice, diagnosis or treatment. Screening must occur daily and at home before a child or individual enters any facility used for a UOV event.
When assessing for the symptoms below, you should focus on evaluating if they are new, worsening, or different from your child’s or your own baseline health status or usual state. Symptoms associated with known chronic health conditions or related to other known causes/conditions should not be considered unless new, different or worsening.

Under Privacy Regulations you have a right to access and correct any information about you.

By signing below, the Participant (named below) or the Participant’s Guardian attests that all questions have been answered truthfully and honestly.
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Question 1:  Are you currently experiencing one or more of the sypmtoms below that are new or worsening?  Symptoms should not be chronic or related to other known causes or conditions. *
Required
Question 2:  In the last 14 days, have you travelled outside of Canada AND been advised to quarantine (as per the federal quarnatine requirements? *
Question 3:  Has a doctor, health care provider, or public health unit told you that you should currently be isolating (staying at home)? *
Question 4:  In the last 10 days, have you been identified as a "close contact" of someone who currently has COVID-19? *
Question 5:  In the last 10 days, have you received a COID Alert exposure notification on your cell phone? *
Question 6:  In the last 10 days, have you tested positive on a rapid antigen test or a home-based self-testing kit? *
Question 7:  In the last 14 days, has someone in your household (someone you live with) travelled outside of Canada AND been advised to quarantine (as per the federal quarantine requirments) in the last 14 days? *
Question 8:  In the last 10 days, has someone in your household (someone you live with) been identified as a "close contact" of someone who currently has COVID-19 AND advised by a doctor, health care provider or public health unit to self-isolate in the last 10 days? *
Question 9:  Is anyone you live with currently experiencing any new COVID-19 symtoms and/or waiting for test results aftr experiencing symptoms? *
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