Club Aviva COVID-19 Check-in
By entering this facility you are confirming that you have read and agree with the following:

You consider yourself healthy and do not have any of the following symptoms:
• Fever (greater than 38.0 C)
• Chills
• Cough or worsening of chronic cough
• Shortness of breath
• Sore throat
• Runny nose
• Loss of sense of smell or taste
• Headache
• Fatigue
• Diarrhea
• Loss of appetite
• Nausea and vomiting
• Muscle aches

You and the rest of your household have not travelled outside of Canada within the last 14 days

To the best of your knowledge, you and the rest of your household, have not been in close contact with a person who tested positive for COVID-19 within the last 14 days.

You are not currently being investigated as a suspect case of COVID-19 or waiting for test results.

You have not tested positive for COVID-19 within the last 10 days.

If the answer is “no” to any of the questions, access to this facility will be denied.
Participant First and Last Name *
Phone Number *
Entrant meets the criteria *
Required
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