Jacked Sports COVID-19 Wellness Check
We are planning a safe return to volleyball. The health and well-being of Jacked Sports members and staff is paramount. It is our responsibility to provide a safe and healthy environment that includes weekly COVID-19 questionnaires to all participants and also onsite monitoring of our members.

This questionnaire must be filled out weekly before attending in order to participate in Jacked Sports events.
Name (full first and last name) *
League WEEK: Game date *
Team/Captain name? *
Have you traveled outside of Canada in the past 14 days? *
Have you had close contact with a confirmed or probable case of COVID-19?
Are you experiencing or have you experienced respiratory or "flu like" symptoms in the past 14 days? (Fever, Cough, Shortness of breath/difficulty breathing, Sore throat, Sneezing/Runny nose without other known cause, Nausea/Vomiting, Diarrhea, Abdominal pain, Unexplained muscle aches) *
Have you been in close contact with a person with acute respiratory illness who has been outside of Canada in the last 14 days?
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