Thornhill Park Tennis Club COVID-19 Screening for Adults
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First and Last Name *
My court time/program starts at: *
Time
:
I am attending: *
Do you have any of the following symptoms: Fever (>37.8 degrees Celsius) or chills, Cough or barking cough (croup), shortness of breath, cough, sore throat, difficulty swallowing, runny nose/stuffy nose or nasal congestion, decrease or loss of smell or taste, headaches, pink eye, nausea, vomiting, diarrhea, stomach pain, muscle aches/joint pain, extreme tiredness, and falling down often. *
In the last 14 days, have you been identified as a "close contact" of someone who currently has COVID-19? *
Has a doctor, health care provider, or public health unit told you that you should currently be isolating (staying home)? *
In the last 14 days, have you received a COVID Alert exposure notification on your cell phone? *
Is anyone you live with currently experiencing any new COVID-19 symptoms and/or waiting for tests results after experiencing symptoms? *
Have you been out of the country within the last 14 days? If you are exempt from federal quarantine requirements OR you qualify for the fully vaccinated traveller exemption, please answer "N0". *
IF YOU HAVE ANSWERED YES TO ANY OF THE ABOVE QUESTIONS PLEASE DO NOT ENTER THE FACILITY. TAKE THE OFFICIAL ONTARIO SELF ASSESSMENT TOOL AND FOLLOW IT’S RECOMMENDATIONS. *
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