All players must complete this questionnaire approximately 1 hour prior to their skate.

Player - First Name *

First Name - Title Case, e.g. Connor

Player - Last Name *

Last Name - Title Case, e.g. McDavid

Date of Session - Select applicable skate session *

Exhibition Game – Thursday, September 16 @ 17:30 - 19:45 Bill Hunter

Exhibition Game – Friday, September 17 @ 17:45 - 20:00 Castle Downs A

Exhibition Game- Saturday, September 18 @ 19:30 - 21:45 Bill Hunter

Exhibition Game – Sunday, September 19 @ 16:45 - 19:00 Bill Hunter

Practice – Wednesday, September 22 @ 21:15 - 22:15 Kinsmen B

Practice - Friday, September 24 @ 19:30 - 21:00 Kinsmen A

Parent Name *

First Last Name

Phone Number *

Smartphone

Email *

Contact Email Address

Is the player experiencing any symptoms of sickness? *

Yes

Has the player or any family member attending the skate had close unprotected contact (face-to-face contact within 2 metres/6 feet) with someone who is ill with a cough/fever? *

Yes

Has the player or anyone in your household been in close unprotected contact in the last 14 days with someone who is being investigated or confirmed to be a case of COVID-19? *

Yes

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.

South Side Athletic Club

Elite AAA/AA | U13 | U15 | U16 | U17 | U18

U18 AAA BP Athletics COVID Questionnaire