Covid Daily Assessments
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Please fill out the following information:
First Name
Last Name
Location
Please Select
Alder Fitness
Alder Green Rink
Alder Library
Alder Red Rink
Alder Twisters Gymnastics Club
Tony Rose A Rink
Tony Rose B Rink
Tony Rose Fitness
Tony Rose Pool
Phone Number
Email
Are you currently experiencing any of the following symptoms of Covid-19? New or worsening cough, fever and/or chills, shortness of breath, decrease or loss of taste or smell, unusual muscle aches or extreme tiredness? (Symptoms that are not related to other conditions)
No
Yes
In the last 14 days, have you travelled outside of Canada AND been advised to quarantine (per the Federal Quarantine requirements)?
No
Yes
In the last 10 days, have you been identified as a close contact of someone who currently has COVID-19? If you are fully vaccinated* and have not been advised to self-isolate by public health, select "No". *Fully vaccinated at least 14 days after receiving second dose of a vaccine series.
No
Yes
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