Covid Health Screening
This questionnaire (form) must be completed by every individual prior to participation or entry into the City of Ottawa facility, no more than 12 before your skaters on ice session.

Effective Monday September 14, 2020, 1 (one) spectator per skater will be allowed to watch from the stands only (no viewing from lobby).
Email address *
Skater Name (first and last, please use same name as registration) *
Phone number *
Session Date (date you are skating) *
MM
/
DD
/
YYYY
Ice time (please select the proper ice time for your skaters session, please pay attention to AM or PM) *
Which Rink are you skating at? *
Fever (Feeling hot to the touch, a temperature of 37.8 C or higher)? *
Cough (continuous, more than usual)? *
Shortness of breath? *
Runny nose, sneezing or nasal congestion (not related to other known causes such as seasonal allergies, etc.)? *
Sore Throat (difficulty swallowing) *
Lost sense of taste or smell? *
Will Parent / Spectator enter facility? Please note that that city of Ottawa is no longer allowing spectators *
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