Thunder FC Daily Screening Form
This form is to be completed prior to each training session by all attending participants. If we do not receive the completed form prior to 12:00 on the day of training you will not be allowed to train.

All questions must be answered.
Sign in to Google to save your progress. Learn more
Email *
Players Name *
Primary Phone Number *
Which program are you registered in *
Required
Gender of program *
Have you traveled outside the Atlantic Provinces in the past two weeks? *
Have you been within two meters of someone with a confirmed case of COVID-19 in the last two weeks? * * *
In the past 14 days, have you been in close contact with someone who has traveled out of the Atlantic Provinces who has a cough and/or a fever of higher than 38 C? *
Do you have a fever higher than 38 C or a new cough? *
Do you have any of the following symptoms? If you have any of the symptoms listed below, please stay at home. *
Required
If you answered YES to any of the questions above please do not show up to training until your symptoms subside, you have observed the mandatory two-week self-isolation necessary when arriving to the Atlantic Provinces from abroad, or have gone through the 811 processes after being in contact with a known case of Covid-19. Do you understand? *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy