YRFA Mandatory COVID Screening Form
All participants must complete the screening form prior to each week. Participants not showing a complete screening will not be permitted on the field.
Email address *
Player First Name (or your name if you're a coach/trainer) *
Player Last Name (or your name if you're a coach/trainer) *
Your player's team/program *
Have you or anyone in your home had a fever in the past 14 days? *
Do you, or anyone in your household, have any of the following symptoms? Check any that apply (optional)
Have you traveled or had contact with anyone who has traveled outside Canada in the past 14 days? *
Have you had close contact with anyone with a respiratory illness or a confirmed/probable case of Covid 19? *
Have you been tested for Covid 19? (optional)
Did you test positive or negative? (optional)
Are you a First Responder ? Did you wear the required and/or recommended PPE according to the type of duties you were performing (e.g., goggles, gloves, mask and gown or N95 with aerosol generating medical procedures when you had close contact with a suspected or confirmed case of COVID-19? (optional).
A copy of your responses will be emailed to the address you provided.
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