Athlete Health Screening

The Covid-19 pandemic poses some unique challenges and our goal is to ensure the safety and health of everyone. Everyone has a role to play in reducing the spread of Covid-19.

By my signature(s) below, as part of my registration, I agree to adhere to the following guidelines:

All athletes and parents must not participate in skating program unless you must be able to answer NO to each question at point of registration and every scheduled session thereafter.

• Do you – or anyone else in your family have
• Fever higher than 38°C in the past 2 days?
• Current cold or flu symptoms in the past 2 days?
• Any difficulty breathing in the past 2 days?
• Stiff neck or headache with a fever in the past 2 days?
• Vomiting or Diarrhea in the past 2 days?
• Are you experiencing unusual levels of tiredness, lethargy, low energy?
• Are you experiencing any other symptoms of illness?

While Sparkling Blades SC & third-party buildings, such as municipal (Town of GFW) will have extra safety measures in place, it is up to everyone to protect their own heath. It is an individual responsibility!

I also agree to the following:

• All Sparkling Blades SC policies and procedures as well as extra safety procedures and expectations
• Hand Hygiene: Wash your hands often with soap and water for at least 20 seconds. Use an alcohol based hand sanitizer in the absence of soap and water with at least 60 per cent alcohol.
• Avoid touching your face
• Respiratory Etiquette ( Do not sneeze or cough into hands. If no tissue available, use sleeve.               Tissues to be disposed of immediately.)
• Social Distancing
• Avoid contact with people who are sick.
• Stay at home if you are sick.

­­­­­­­­­­­­­___________________________     ____________________________    ________________________

Athlete’s name (print)                         Signature                                                Date

___________________________    _____________________________   ________________________

Parent/guardian name                        Signature                                                 Date                                                                                                         (participant under 19