Indoor Gym Sessions 2021-2022
Hurricanes screening check
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Player Name *
Player Contact Email *
Indoor Session Date (fill this on the day of the session) *
Do you have any of the following new or worsening symptoms or signs?
If you have an existing health condition that gives you the symptoms, select “No,” unless the symptom is new, different or getting worse.
Fever or chills *
Cough *
Trouble Breathing *
Sore throat or trouble swallowing *
Decrease or loss of taste or smell *
Nausea vomiting or diarrhea *
Pink eye *
Very tired, sore muscles or joints *
If you've responded “YES” to any symptoms: Stay home & self-isolate + get tested or contact a health care provider
Does anyone in your household have one or more of the above symptoms and/or are waiting for test results after experiencing symptoms? (If you are fully vaccinated, select “No.”) *
Have you been notified as a close contact of someone with COVID-19 or been told to stay home and self-isolate? (If you are fully vaccinated, select “No.”) *
In the last 10 days, have you tested positive on a rapid antigen test or a home-based self-testing kit? *
In the last 14 days, have you travelled outside of Canada AND been advised to quarantine per the federal quarantine requirements? *
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