U15-AA (Glancaster Minor Hockey)

Terms and Conditions:
 
 
I acknowledge that I will submit this screener no earlier than 12 Hours of each scheduled session, prior to arriving at the arena.  I acknowledge that failure to do so may compromise my registration in the program.  

Terms and Conditions: Are you currently experiencing any of these issues? Call 911  if you  are. You cannot participate in on-ice or off-ice activities. 

 

1.   Severe difficulty breathing
       (struggling for each breath, 
      can only speak in single words)

 

2.   Severe  chest pain (constant tightness or 
      crushing  sensation)

 

3.   Feeling confused or unsure of where you are

 

4.   Losing  consciousness

Terms and Conditions: If you are in any of the  following at  risk groups,
we  ask  that you speak with your physician  prior  to participating:

1.  70 years old or older.

2.  Getting  treatment  that  compromises  (weakens) 
     your  immune  system (for example, 
     chemotherapy, medication
     for  transplants, corticosteroids, 
     TNF  inhibitors)

    3.  Having a condition that compromises (weakens)
       your  immune system 
      (for example, diabetes, emphysema, asthma,
          heart condition)

   4.   Regularly going to a hospital or 
          healthcare setting  for a treatment
         (for example,dialysis, surgery, cancer treatment)

Terms and Conditions: The answer to all questions must be “No” in order to 
participate in any and all activity (on-ice or off-ice).

1. Are you currently experiencing any of these symptoms?

*Do you have a Fever? (Feeling hot to touch, temperature of 37.8C or higher) 
*Chills
*Cough that's new or worsening (continuous.more than usual)
*Barking cough, making a whistle noise when breathing (croup) 
*Shortness of breath (out of breath, unable to breathe deepley) 
*Sore throat
*Difficulty swallowing
*Runny nose, sneezing, or nasal congestion (not related to seasonal allergies or  other known causes or conditions) 
*Lost sense of smell or taste
*Pink Eye (conjunctivitis) 
*Headache that's unusual or long lasting
*Digestive Issues (nausea/vomiting, diarrhea, stomach pain) 
*Muscle aches 
*Extreme tiredness that is unusual (fatigue, lack of energy) 
*Falling Down often
*For young children and infants: sluggishness or lack of appetite

Terms and Conditions: The answer  to all questions must be “No” in order 
to participate in any and all activity (on-ice or off-ice).

For the remaining questions, close physical contact
means being less than 2  metres away in  the same  room, workspace, or  area 
for  over 15 minutes or living in the same home

*In the last 14 days, have  you  been  in close physical contact with
 someone who  tested positive for COVID-19?

*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.)

*Have you  travelled outside of Canada in the last 14 days?(This does not include essential workers who cross the Canada-US border regularly.)