Returning to Rink: After Illness / Quarantine or Covid-19 Testing (Peterborough Hockey Association)

Returning to Rink: After Illness / Quarantine or Covid-19 Testing

Player Information

Player:^*

Required

Parent Name:^*

Required

Contact Number^*

Required

Example: ###-###-####

Email:^*

Required

Example: [email protected]. Your submission will be sent to this address.

Date Illness / Quarantine Reported to Coach / Trainer / PHA ^*

Required

Name of person reported to

Level of Play^*

Required

Age Group^*

Required

Team^*

Required

Reason for missing hockey:

Please give details about illness, diagnosis and treatment. If you missed due to quarantine please detail who gave the order and what instructions where given.

Covid -19 Test

If no test was performed, or the COVID-19 test was negative, the individual may only return to hockey activities once they no longer have any symptoms of COVID-19 for 48 hours and with permission provided by the PHA Health team.

Was a Covid -19 Test complete?^*

Required

If yes, what was the date of test

If yes, what result was given

Returning to Rink: After Illness / Quarantine or Covid-19 Testing (Peterborough Hockey Association)

OMHA Digital Network

Player Information

Reason for missing hockey:

Covid -19 Test

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