ASC Tots & Mini Tots Program COVID-19 Self Certification
Use this form before attending EACH training to certify that you are healthy for participation. This should be completed ON THE DAY OF EVENT every time.

Disclaimer: While ASC is implementing safety efforts following all jurisdictional guidelines, the COVID-19 pandemic is ever-changing and mitigation plans may need to be updated. All players/staff are assuming all risks by participating in our Program.

Utilice este formulario antes de asistir a CADA capacitación para certificar que está sano para participar. Esto debe completarse EL DÍA DEL EVENTO cada vez.

Descargo de responsabilidad: si bien ASC está implementando esfuerzos de seguridad siguiendo todas las pautas jurisdiccionales, la pandemia de COVID-19 está en constante cambio y es posible que sea necesario actualizar los planes de mitigación. Todos los jugadores / personal asumen todos los riesgos al participar en nuestro Programa.
Please enter participant LAST name: *
Entra tu APELLIDO
Please enter participant FIRST name: *
Entra tu PRIMER NOMBRE
What is your gender? *
Cuál es su género
What is your birth year? *
Tu ano de naciomiento
By clicking each box below, I attest to the following: *
Required
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