Youth Lessons - St. Albert Nordic COVID-19 Checklist
If you answer yes to any of the following statements, please stay home and use the AHS Online Assessment Tool to determine if testing is recommended.
This form must be completed by the participant or their legal guardian prior to attending each lesson.
Participant Name (not parent)
Sunday 2:30-4:00 (Track Attack)
Does the person attending the activity have any of the following symptoms
Cough - new or changed
Shortness of Breath/ Difficulty Breathing – new or changed
Runny nose / Nasal congestion - new or changed
Feeling unwell/ Fatigued
Nausea/ Vomiting/ Diarrhea
Unexplained loss of appetite
Loss of sense of taste or smell
Muscle/ Joint aches – unexplained and unrelated to physical activity
Have you, or anyone in your household, travelled outside of Canada in the last 14 days? If so and the individual travelled for work and is not displaying symptoms, you may select no.
Have you or your children attending the program had close unprotected contact (face-to-face contact within 2 meters/ 6 feet) with someone who is ill with cough and/or fever?
Have you or anyone in your household been in close unprotected contact in the last 14 days with someone who is being investigated or confirmed to be a case of COVID-19?
If you answer yes to any of the above, please stay home and use the AHS Online Assessment Tool to determine if testing is recommended.
A copy of your responses will be emailed to the address you provided.
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