LaSalle Minor Hockey Check In
Required fields are marked with asterisks (*)
Please enter these questions before you enter any municipal facility.

PLEASE MAKE SURE YOU READ THE QUESTIONS (THEY ARE UPDATED FREQUENTLY)
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Are you a: *
Full Name *
Date: *
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YYYY
Please read the following and answer below:
1. Are you currently experiencing any one of the symptoms below that are new or worsening? Symptoms should not be chronic or related to other known causes or conditions.
• Fever and/or chills (temperature of 37.8 degree Celsius/100 degrees Fahrenheit or higher)
• Cough or barking cough (croup) - Continuous, more than usual, making a whistling noise when breathing (not related to asthma, post-infectious reactive airways, COPD, or other known causes or conditions you already have)
• Shortness of breath - Out of breath, unable to breathe deeply (not related to asthma or other known causes or conditions you already have)
• Decrease or loss of smell or taste (not related to seasonal allergies, neurological disorders, or other known causes or conditions you already have
• Sore throat (not related to seasonal allergies, acid reflux, or other known causes or conditions you already have)
• Difficulty swallowing - Painful swallowing (not related to other known causes or conditions you already have)
• Pink eye (Conjunctivitis; not related to reoccurring styes or other known causes or conditions you already have)
• Runny or stuffy/congested nose (not related to seasonal allergies, being outside in cold weather, or other known causes or conditions you already have)
• Headache (unusual or long lasting, not related to getting a COVID-19 vaccine in the last 48 hours, tension-type headaches, chronic migraines, or other known causes or conditions you already have)
• Digestive issues like nausea/vomiting, diarrhea, stomach pain (not related to irritable bowel syndrome, menstrual cramps, or other known causes or conditions you already have)
• Muscle aches (unusual or long lasting, not related to getting a COVID-19 vaccine in the last 48 hours, a sudden injury, fibromyalgia, or other known causes or conditions you already have)
• Extreme tiredness - unusual, fatigue, lack of energy (not related to getting a COVID-19 vaccine in the last 48 hours, depression, insomnia, thyroid dysfunction, or other known causes or conditions you already have))
• Falling down often (for older people)
2. In the last 14 days, have you travelled outside of Canada? (If exempt from federal quarantine requirements (for example, an essential worker who crosses the Canada-US border regularly for work, select "no")
3. In the last 14 days, have you been identified as a close contact of someone who currently has COVID-19?
4. Has a doctor, health care provider, or public health unit told you that you should currently be isolating (staying at home)? This can be because of an outbreak, contact tracing, or after testing positive on a rapid antigen test.
5. In the last 14 days, have you received a COVID Alert exposure notification on your cell? If you already went for a test and got a negative result, select “no”.
6. Is anyone you live with currently experiencing new COVID-19 symptoms and/or waiting for test results after experiencing symptoms (if the person got a COVID-19 vaccine in the last 48 hours and is experiencing a mild headache, fatigue, muscle aches, and/or joint pain that only began after vaccination, select "no")
Please answer: *
If you are not experiencing any of the symptoms listed above, and answered NO to all of the questions then you may enter the building.
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