Downtown Swim Club Daily Self-Screening Protocol
Each swimmer must complete this Protocol prior to attending swim practice on the day of that practice. If you arrive at the pool and have not yet completed the Protocol, you will be asked to do so on your phone at that time. Keep the link handy to make it easier to find each week.

As a reminder, if you answer yes to any of the screening questions, then you cannot attend practice.
Sign in to Google to save your progress. Learn more
Email *
What is your Name?
What is today's date (i.e. the date of your practice)?
MM
/
DD
/
YYYY
Do you have any of the following symptoms, even if mild: cough, shortness of breath, chest pain, difficulty breathing, fever, chills, repeated shaking with chills, abnormal muscle pain, headache, sore throat, painful swallowing, runny nose, new loss of taste or smell or gastrointestinal illness?
Clear selection
Have you either tested positive for COVID-19 or have reason to believe that you have contracted COVID-19 in the last 14 days?
Clear selection
Have you been in contact with or cared for someone who had a suspected, probable or confirmed case of COVID-19 in the last 14 days?
Clear selection
Have you returned from a trip outside of Canada in the last 14 days and were told to quarantine?
Clear selection
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Downtown Swim Club. Report Abuse