Rexdale Soccer COVID-19 Screening Questions
Please complete this form before taking part in any soccer activities and/or visiting the League Office.
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Email *
Phone Number *
Player Name *
Do you or your child currently have one or more of the COVID-19 symptoms below that are new or worsening? *
Required
Does anyone in your household have one or more of the above symptoms of COVID-19 and/or are waiting for test results after having symptoms? *
Have you or your child been notified as a close contact of someone with COVID-19 or been told to stay home and self-isolate by a doctor, health care provider, or public health unit? *
Do you live with someone who has been told by a doctor, health care provider, or public health unit that they should currently be isolating? *
In the last 14 days, have you or your child travelled outside of Canada AND been advised to quarantine per the federal quarantine requirements? *
If you answer YES to any one of the questions above, PLEASE DO NOT enter this location AND contact either your health care provider or Telehealth Ontario (1-866-797-0000) to get advice or an assessment, including if you need a COVID-19 test.
A copy of your responses will be emailed to the address you provided.
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