U18 AA CBH COVID Questionnaire

SSAC Pre-Skate Questionnaire | U18 AA Canadian Brewhouse
All players must complete this questionnaire at least 2 hours prior to their skate.
First Name - Title Case, e.g. Connor
Last Name - Title Case, e.g. McDavid
First Last Name
Smartphone
Contact Email Address
If you have checked any boxes indicating sick symptoms or answered YES to any of these questions, do not participate in the ice session. Go home and please use the Alberta Health Services Online Assessment Tool to determine if testing is required.

Thank you for completing this form.

Sending