PA Covid Screening Questionnaire
Each athlete MUST complete this questionnaire before attending any programming provided by Premier Academy
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What is your child's name (first & last name)?
Do you or your child have any of the following symptoms?
Shortness of breath/difficulty breathing
Unexplained loss of appetite
Loss of smell or taste
Muscle or Joint aches
None of the above
Have you or anyone in your family traveled outside of Canada in the last 14 days?
Have you or anyone in your family come in contact with someone who has tested positive for Covid-19 in the last 14 days?
If you have answers "yes" to any of these questions you can not participate. Please STAY HOME, email your coach and use the Alberta Health Services online assessment tool to determine if testing is recommended.
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This form was created inside of Premier Academy.