Contact, Team and Event information for the Participant or Spectator screened in this form. EACH PERSON NEEDS THEIR OWN FORM. EXAMPLE, ONE PLAYER AND ONE PARENT WATCHING MEANS TWO FORMS ARE NEEDED.
Person filling out this form or on whose behalf the form is filled out
For Contact Tracing if needed. Format ###-###-####
MM/DD/YYYY format to type directly
HH:mm am/pm format to type directly
Are you currently experiencing any of these symptoms?
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.