Covid-19 Screening -Updated Sept 14th 2021 (Peterborough Hockey Association)

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Covid-19 Screening -Updated Sept 14th 2021
Please read through the questionnaire and answer all of the questions. Please answer all questions accurately. Players who arrive at activities and appear to be symptomatic will not be allowed to participate. If your player is not feeling well, or showing any signs of any illness please keep them home. If you have any symptoms or answer yes you must stay home for a minimum of 24 hours after the last symptom subsides. It is critical that no one enter the arena if they or someone from their household has symptoms. You are given 2 options on the form: *PASS - answered "NO" to all questions and players are permitted to participate *FAIL- answered "YES" to any of the questions and players are NOT permitted to participate. Please notify Coach if your child is not attending and the reasons for missing, this is for tracking purposes. You will automatically get an email and will show this to the person filling out the tracking sheet.

Player Identification

Question 1

Are you currently experiencing one or more of the symptoms below that are new or worsening? Symptoms should not be chronic or related to other known causes or conditions.

Question 2

Question 3

Question 4

Question 5

Question 6

Question 7

Question 8

Question 9

If the patron answered NO to all questions from 1 through 9, they can enter the business or organization. In the business or organization, the patron must continue to follow all public health measures, including masking, maintaining physical distance and hand hygiene, where applicable. • If the patron answered YES to any questions from 1 through 9, they should not be permitted to enter the business or organization (including any outdoor or partially outdoor business or facility). They should be advised to go home to self-isolate immediately and contact their health care provider or Telehealth Ontario (1-866-797- 0000) to get advice or an assessment, including if they need a COVID-19 test. • If the patron answered YES to question 9, they must be advised to stay home, along with the rest of the household, until the sick individual gets a negative COVID-19 test result, is cleared by their local public health unit, or is diagnosed with another illness. 6 | Page • If any of the answers to these screening questions change during the day, this screening result is no longer valid and the patron may need to screen again, wherever necessary. • Any record created as part of patron screening may only be disclosed as required by law. Note: For more information on federal requirements for travellers, including for unvaccinated children less than 12 years of age and quarantine exemptions, please see the Government of Canada’s website. Resources: • COVID-19 (coronavirus) in Ontario webpage (find a testing location, check your results, how to stop the spread of the virus). • Ministry of Labour, Training and Skills Development’s Resources to prevent COVID-19 in the workplace. • Screening for COVID-19: guidance for employers webpage.