Please complete the Day of the

 Match

 

*
*
*
*
Have any of your players experienced any of the following symptoms? Fever, Shortness of Breath, Chills, Feeling Unwell (tired), Unexplained Loss of appetite, Cough, Sore Throat, Loss of Taste or Smell
Have any of your players or anyone in their household travelled outside of Canada in the last 14 days?
Have any of the players or anyone in their 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?
If you have checked any boxes or answered YES to any of these above questions, Please ask your player to stay home and use a substitute in their place. Please ask the player to use the AHS Online Assessment Tool to determine if testing is required. Thank you for completing this form.