Forest Ringette Association
DAILY COVID-19 ATTESTATION AND AGREEMENT
By signing below, the Participant (named below) or the Participant’s Guardian attests that the Participant:
1. Does not knowingly have COVID-19;
2. Is not experiencing any known symptoms of COVID-19, such as fever, cough, shortness of breath, decrease taste or smell or unusual fatigue;
3. Has not travelled internationally during the past 14 days and been advised to quarantine;
4. Have not been told to isolate at home by doctor or public health unit;
5. Has not, in the past 10 days, tested positive on a rapid antigen test or home based self testing kit.
Furthermore, by signing below, the Participant or the Participant’s Guardian agrees that while attending or participating in the Organization's events or attending at the Organization’s facilities, the Participant:
1. Will follow the laws, recommended guidelines, and protocols issued by the Government of the Province in respect of COVID-19, including practicing physical distancing, and will do so to the best of the Participant’s ability while participating in the Organization's events or attending at the Organization’s facilities;
2. Will follow the guidelines and protocols mandated by the Organization in respect of COVID-19;
3. Will, in the event that the Participant experiences any symptoms of illness such as a fever, cough, difficulty
breathing, shortness of breath or malaise, immediately:
a. inform a representative of the Organization; and
b. depart from the event or facility.
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Name of Participant/Players (Please list all players attending on this date for practice)
Name of Parent/Guardian (if participant is a minor and you are the guardian attending with participant please state name and this will complete your daily COVID attestation as well.) If you are completing as person 14 years or older than please submit NA in box below.
List immediate family members (other parent or siblings) attending as spectators. Please review above questions and this will complete their daily COVID screening as well, when name is added to the list
Contact Phone Number
I agree to the above terms, on behalf of myself, and/or the participants (if participants is a minor or they are direct members of my immediate family)
Date of Attestation
Send me a copy of my responses.
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