Athlete Daily Screening

Daily Screening Pre-Auth

1 Athlete and Contact Info
2 Agreement
  • Due to the Coronavirus (COVID-19) outbreak we are taking extra precautions with the care of every member to include session tracking, social distancing protocols and enhanced sanitation/disinfection procedures in accordance with the Alberta Heather Services.

    This form MUST be filled out EVERY SESSION.

    Please review the list prior to sending the participant each day and DO NOT ATTEND training if the any the participant is exhibiting any of the symptoms below.

    If you are not going to attend training in a day, please call or text Coach Michelle at 780-993-2534.

    Athlete Information

  • Date Format: MM slash DD slash YYYY

  • Emergency Contact Information

    Please provide contact information to supply to Alberta Health Services for contact tracing purposes in the event there are any reported COVID-19 illnesses that may affect your athlete or others they have been in contact with.

    This information may not be the same emergency contact we have on file.