JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Hamilton 6's Check in
It is a requirement that you complete this form no more then 24 hours BEFORE attending our programing.
The form must be completed FOR EVERY SESSION YOU ATTEND.
This is a City of Hamilton requirement that must be met to keep valid field/box permits for our program
Thank you for your support and participation in our 2021 programing!
Sign in to Google
to save your progress.
Learn more
Date of Session
MM
/
DD
/
YYYY
First and last name
Your answer
Phone Number
Your answer
Division you are attending
Soft/Paperweight
U9/U11
U13/U15
GIRLS FIELD Mini
GIRLS FIELD U11/U13
GIRLS FIELD U15/U19
JR B
Boys Rep Field Lacrosse
Clear selection
Do you have any of the following new or worsening symptoms or signs:
Yes
No
Clear selection
Have you travelled outside of Canada in the past 14 days and been advised to quarantine?
Yes
No
Clear selection
Has a DR, health care provider, or public health unit told you that you should currently be isolating (at home)?
Yes
No
Clear selection
In the last 14 days have you been identified as a "close contact" of someone who currently has COVID-19?
Yes
No
Clear selection
If you answer YES to any of the above questions, please remain at home and self isolate. You will not be permitted to attend or participate in our programming at this time.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
