COVID-19 Daily Checklist
Attendees are required to complete this checklist prior to participating in EYCA games. If an individual answers "yes" to any of the questions, they will not be allowed to participate.

Individuals with fever, cough, shortness of breath, runny nose, or sore throat are required to isolate for 10 days per CMOH Order 05-2020 unless they receive a negative COVID-19 test and are feeling better.
Attendee's Name *
Attendee's Team *
Does the attendee have any new onset, or worsening, of any of the following symptoms: *
Yes
No
Fever
Cough
Shortness of breath/difficulty breathing
Runny nose
Sore throat
Chills
Painful swallowing
Nasal congestion
Feeling unwell/fatigued
Nausea/vomiting/diarrhea
Unexplained loss of appetite
Loss of sense of taste or smell
Muscle/joint aches
Headache
Conjunctivitis/Pink eye
Has the attendee travelled outside of Canada in the last 14 days? *
Has the attendee had close contact with a confirmed case of COVID-19 in the last 14 days? (face to face contact within 2 metres). *
Has the attendee had close contact with an individual who has any one of fever, cough, shortness of breath, runny nose, sore throat AND who is a close contact of a confirmed case of COVID-19 in the last 14 days? *
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