KGTC | Daily COVID-19 Screening Checklist
As a participant of KGTC, we are required to have each athlete complete the following Daily Screening Checklist.
By filling in and submitting this form, I am confirming I will stay home if I am unwell, or if someone in my household is unwell, or is displaying the symptoms below.
If I answer yes to any of the following I am aware that KGTC will follow the process outlined in its safety plan and the athlete will not be permitted to train or enter the facility.
PARTICIPANT / KGTC STAFF INFO
If you are an Athlete, input your first and last name.
If you are a KGTC Staff, input your first and last name.
Select the discipline you are participating in. If you are participating in more than one on the SAME day, select both disciplines.
KGTC Staff [Coach/Support]
Placing a check mark beside each item indicates that you are declaring yourself to NOT have those symptoms or exposures.
I do NOT have the following symptoms:
Shortness of Breath
Sore Throat/Painful Swallowing
Loss of sense of smell
I have NOT:
Knowingly been in contact with a person that has a confirmed or suspected case of COVID-19
Travelled outside of Canada in the last 14 days.
Been knowingly exposed to someone who has traveled outside of Canada in the last 14 days.
A copy of your responses will be emailed to the address you provided.
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This form was created inside of Kamloops Gymnastics | Trampoline Centre.