Daily Screening Questionnaire
Dear parent/guardian or participant,

Please fill out this screening questionnaire to determine if the participating judoka can enter the dojo today. Please complete this questionnaire each and everyday you will be participating in training.


If you answer "yes" to any of the screening questions DO NOT enter at this time.

If you have recently developed any of these symptoms, please call 811 or visit:
to do a self-assessment to see if you require testing.

Be sure to practice good hand hygiene (use hand sanitizer or wash hands with soap and water for at least 20 seconds before entering and leaving the facility).

Our goal is to minimize the risk of illness to you, your children and family and our staff. We thank you for your cooperation and understanding.
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