Worthington Hockey Association COVID-19 Protocol

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Worthington Hockey Association COVID-19 Protocol

This follows MDH Guidelines for COVID-19 contact tracing & daily symptom tracking.

This is required before any game at the Worthington Hockey Arena during the 2020-2021 season.

Please fill this out before entering the Worthington Hockey Arena.

Sign in to Google to save your progress. Learn more

* Indicates required question

First Name- Player *

Your answer

Last Name- Player *

Your answer

Address of Parent/ Guardian of Player *

Your answer

City of Parent/ Guardian of Player *

Your answer

State of Parent/ Guardian of Player *

Your answer

Phone Number of Parent/ Guardian of Player *

Your answer

First & Last Name of Spectators (up to 4 spectators allowed per player) *

Your answer

Next

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy