2020-21 COVID Health Screen (Caledonia Old Timers Hockey)

Print 2020-21 COVID Health Screen
Prior to a Player sparing for our league, they must complete the following Health Screen
Player Information
  1. Example: ###-###-####
  2. Example: [email protected] Your submission will be sent to this address.
Hockey & Game Information
  1. RadDatePicker
    RadDatePicker
    Open the calendar popup.
Health Question 1: Are you currently experiencing any of these symptoms?
Please answer all questions. The answer to all questions must be “No” in order to participate in any and all activity.
Health Background Questions 2 thru 4
Please answer all questions. The answer to all questions must be “No” in order to participate in any and all activity
  1. (This does not include essential workers who cross the Canada-US border regularly.)
  2. (This does not include essential workers who cross the Canada-US border regularly.)
Human Validation
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Printed from caledoniaoldtimershockey.com on Tuesday, December 1, 2020 at 12:19 PM