Self-Screen for COVID-19 Risk
This screening tool must be completed by all TAAA parents, guardians, players, and volunteers who intend to enter the City of Thorold's hockey arenas to participate in a TAAA hockey game/practice. Players are not permitted in the facilities before completing this self-screen.

The health of our players and parents/guardians depends on our honesty and accuracy in completing this daily screening tool.

Thank you for your understanding and your commitment to the health of one another.
Email address *
This form must be completed daily. Please select todays date. *
MM
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DD
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Time
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Player Name *
Parent / guardian name/ coach's name *
Team name
Column 1
Hockey School
U7
U8
U9
U11
U13
U15
U18
Contact phone number *
Do you have any of the following symptoms? *
1 point
Has someone you are in close contact with tested positive for COVID-19? *
1 point
Do you live with someone who is awaiting COVID-19 test results who was tested due to symptoms OR was tested due to close contact with someone who tested positive? *
1 point
Have you been outside of Canada in the past 14 days? *
1 point
A copy of your responses will be emailed to the address you provided.
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