Before you enter the PCCIA, lets be safe.
In an effort to comply with State of Alabama guidelines, skaters and guardians must submit the form below each day, on the day they plan to attend a session or event. Forms must be submitted at least one hour before arrival time.

EACH PERSON ENTERING THE BUILDING MUST FILL OUT THIS COVID-19 QUESTIONNAIRE SCREENER.

Only one companion may enter the facility with a minor skater (under 18). No other companions will be permitted. Companions of minors will be allowed in the facility and must sit in designated areas.

Temperatures will be taken by the Pelham Civic Complex and Ice Arena staff upon entrance to the facility.

Face masks or coverings are strongly encouraged when in common areas, such as the lobby or banquet hall, when social distancing is not achievable. Masks are not required by athletes while training.
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Today's Date *
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/
DD
/
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First and Last Name *
Email of Skater or Guardian *
Cell Phone of Participant or Companion *
Participant understands and agrees to the following: *
Required
In the last 48 hours have you experienced:
If you checked any of the above, please explain:
In the last 24 hours have you experienced vomiting or diarrhea? *
Within the last 14 days have you:
If you checked any of the above, please explain:
I have been practicing all current CDC guidelines with respect to social distancing. *
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