Covid Check List (Havelock Minor Hockey)

Covid Check List

Please Answer the below questions when attending the arena. Please do not complete more than 24 hours prior to you arriving

Start of Ice Time

Player Name

Spectator Name

Phone Number

Example: ###-###-####

Are you Experiencing Any Covid Symptoms

YesNo

In the last 14 days, have you been in close physical contact with someone who tested positive for COVID-19? (This does not include essential workers who cross the Canada-US border regularly.)

YesNo

In the last 14 days, have you been in close physical contact with a person who either: is currently sick with a new cough, fever, or difficulty breathing?) or; returned from outside of Canada in the last 2 weeks? (This does not include essential workers who cross the Canada-US border regularly.)

YesNo

Have you travelled outside of Canada in the last 14 days?

YesNo

Thank you for taking the time to fill out this for as it will speed up the entry in to the arena. If you have answered yes to any of the above please do not attend the game or practice.

Please be prepared to show your ID and proof of vaccine.

I agree to the terms and conditions stated above^*

Covid Check List (Havelock Minor Hockey)

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