Skate Ontario Health Screening Form
This questionnaire must be completed by each individual prior to participation in each on-ice or off-ice club/skating school
activity.
This includes participation in sessions on rented ice outside of a club/skating school setting.
The answer to all questions must be “No” in order to participate in each on-ice activity.
*Please note: This Health Screening questionnaire has been developed based on the current Ontario Ministry of
Health Self-Assessment Tool