COVID-19 questionnaire
This form MUST be filled out at least 2 hours prior to EVERY session/event
Email address *
Identify your group *
Name of Participant *
Date of session *
Time of session *
Is the participant experiencing any of the following symptoms?: fever, shortness of breathe, cough, sore throat, runny nose, chills, painful swallowing, loss of taste or smell, nausea, headache, muscle ache or conjunctivitus(pink eye), *
Has the athlete travelled outside of Canada in the past 14 day? *
Has the athlete been in close contact with someone who is ill, being investigated for, or a confirmed COVID-19 case in the last 14 days? *
Name of parent or legal guardian(First and last name) *
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