Covid 19- Daily Sign Off - Windsor Essex Swim Team
Mandatory for each swimmer and coach to fill out prior to entering facility for practice.
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Email *
Swimmer or Coach: First , Last Name *
Which pool are you attending today? *
Which Swim Group Are You In ? *
Do you have any of the following new or worsening symptoms or signs? Symptoms should not be chronic or related to other known causes or conditions.Fever or chills, Difficulty breathing or shortness of breath, Cough, Decrease or loss of smell or taste, Nausea, vomiting, diarrhea, abdominal pain, Headache that’s unusual or long lasting, Not feeling well, extreme tiredness, sore muscles. *
Is someone in the household currently experiencing any new COVID-19 symptoms and/or waiting for test results after experiencing symptoms and a PHU authority has told you to self-isolate? *
Are you waiting for direction from a PHU concerning a possible COVID-19 close contact exposure? *
Have you been deemed a close contact with someone who currently has COVID-19 and a PHU authority has told you to self-isolate? *
Have you or someone in your household travelled outside the country within the last 14 days and are required by the Canada Public Health Authority to quarantine/isolate? *
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