Brad Goerzen AE Tournament Covid Check-In

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Please complete this form for EACH player, Spectator and Coaching Staff entering the building.
Check in on the day of your entry to the arena. Only one check in per day is required per individual. Please have your proof of vaccination and government issued ID ready to present to the staff at the door.

First Name of Person Entering the Arena *

Last Name of Person Entering the Arena *

Telephone Number *

I am a (n)... *

Player

Coach/Bench Staff/Volunteer

Spectator

Which Team are you associated with? *

I have completed the COVID-19 screening and I do not have any symptoms. https://covid-19.ontario.ca/self-assessment/ *

Yes

Select the option which describes your Vaccination Status *

Under 12 and not eligible for a vaccine

Fully Vaccinated

12 or over and Not Vaccinated (entry will not be permitted)

Prefer not to answer (entry will not be permitted)

Submit

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