CTAC Health Screen Questionnaire
Please read carefully as the questions have been updated based on the Ministry of Health COVID-19 screening tool for students and children in school and child care settings. Last Updated: January 6, 2022.

This questionnaire must be completed by each individual (athlete/coach/volunteer) prior to participation in each club activity.

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Email *
First & last name of athlete, coach or volunteer *
Group Name: *
Phone number for contact tracing *
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