Between the Lines Sports Campus Screening Form
As per Government of Ontario guidelines and in the interest of keeping all of our clients safe, this form must be completed prior to entry of the facility by each individual client. Thank you!
Please note that failure to answer all questions below honestly may lead to your removal from your program/the facility without refund.
Are you currently experiencing any of these symptoms?
Fever and/or Chills
Cough or barking cough
Shortness of breath
Runny or stuffy/congested nose
Decrease or loss of taste or smell
Digestive issues like nausea/vomiting, diarrhea, stomach pain
Falling down often
None of the above
In the last 14 days, have you travelled outside of Canada?
In the last 14 days, have you had close contact with anyone who currently has COVID-19?
Has a doctor, health care provider, or public health unit told you that you should currently be isolating (staying at home)?
In the last 14 days, have you received a COVID Alert exposure notification on your phone?
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This form was created inside of Between the Lines Sports Campus.