FALL FIELD FEST - Covid Screening
SATURDAY SEPT 18 AND SUNDAY SEPT 19

Event Address:
Ray Lewis Track & Field Complex
Mohawk Sports Park
1100 Mohawk Rd E
Hamilton, ON
L8T 2S4

Contact us at thoroldelitetc@gmail.com or 905-348-2214

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Email *
What is your name (First and last)? *
Phone Number *
What is your role? *
Which day(s) are you participating in the meet? *
Required
Have you traveled internationally within the last 14 days? *
Have you had unprotected close contact with individual(s) who have a confirmed or presumptive diagnosis of COVID-19? *
Do you have a fever (temperature of 37.8 C or higher) OR any new/worsening symptoms including cough, shortness of breath, sore throat, difficulty swallowing,hoarse voice, runny nose, stuffy or congested nose, lost sense of taste or smell,digestive issues such as nausea/vomiting or diarrhea, stomach pain that is not linked to a known or pre-existing condition. Other symptoms may include: fatigue, falling down more than usual, chills, headache? *
Thank you for completing the COVID screening!
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