This is screening form is for Adult Participants and Spectators.
*This form will be updated to reflect any Government of Alberta and Alberta Health Services changes to questions and requirements. Due to the Coronavirus (COVID-19) outbreak we are taking extra precautions with the care of every member to include session tracking, social distancing protocols and enhanced sanitation/disinfection procedures in accordance with the Alberta Health Services. This form MUST be filled out EVERY SESSION (Our session runs to June 30, 2021).
I understand/agree that by answering YES to any of the following questions, on any given day throughout the above noted session, the participant noted above is required to remain home and will NOT be allowed to participate in any training sessions, camps, or any other activities.
If the participant arrives exhibiting any of the above symptoms, staff has the right to refuse entry into the facility. If the participant develops
any of the above symptoms, staff will implement their rapid response to symptomatic individuals' policy.
I understand that coaches, employees, or volunteers cannot be held liable for any exposure to the COVID-19 virus caused by misinformation
on this form or the health history provided by each participant.