**It is MANDATORY to complete this form each day you are scheduled to particpate**
*** To ensure accurate tracking, it is also MANDATORY to compete this form even if you will not be attending your scheduled class/event on a specific day***
*** This form may be updated periodically to reflect any Government of Alberta and Alberta Health Services changes to questions and requirements.
Please enter an emergency contact name and numer should we need to contact someone in regards to today's class(es)
Please proceed to your activity. Please ensure you are taking the required precautions during the class. Should you start to experience any symptoms listed above after this class, please contact your coach immediately.
Thank you for letting us know.
Because you answered “YES” to one or more of the questions below, this indicates you may have been exposed to COVID.
DO NOT participate today.
Please proceed home and access the AHS Online Assessment Tool using the link below to determine if testing is recommended.
A representative from you club will follow-up with you to talk about next steps. Thank you.
Assumption of Risks
I am aware that participating in the activities and sports, without limitation, offered by or associated with Canadian Baton Twirling Federation (CBTF), Alberta Baton Twirling Association (ABTA) and/or ABTA member clubs, exposes me to many inherent risks, dangers and hazards. By engaging in any activities offered by or associated with CBTF, ABTA or Member Clubs, I freely accept and fully assume all inherent risks, dangers and hazards and the possibility of personal injury, death, property damage or loss resulting there from.
The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization and COVID-19 is extremely contagious. The CBTF, ABTA and member clubs have put in place preventative measures to reduce the spread of COVID-19; however, I understand that the CBTF, ABTA and member clubs cannot and do not guarantee that I will not become infected with COVID-19. Further, participating in any group activity and sports may significantly increase my risk of contracting COVID-19 and such exposure may result in temporary or permanent personal injury, illness, disability or death and I freely and voluntarily agree to assume all the foregoing risks.
*** By submitting this form, I agree to the Assumption of Risks.