Health Screening (West Oxford Inferno Girls Hockey)

Print Health Screening
This questionnaire must be completed by each individual prior to participation in each WOGHA activity. It is expected that all members will answer honestly to help decrease the spread of the virus.
ABOUT YOU
  1. please provide the name of the individual in which this screening applies to
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HEALTH SCREENING








  1. Check all that apply



  2. Check all that apply
COMPLETED BY
  1. All questions must be answered no more than 24 hours in advance, and answered honestly to ensure the safety of all WOGHA members and prevent the spread of COVID-19.


    If "yes" was answered for any health screening questions, the individual is not permitted to participate in any WOGHA activities until tested, having completed a 14-day isolation period and/or has been cleared by a medical professional. 


    The Executive shall have the power to discipline, suspend or reprimand any member who knowingly does not abide by the terms of this screening.

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Printed from wogha.ca on Tuesday, September 29, 2020 at 9:42 PM