ABRA Program COVID-19 Health Assessment :
Name Of Participant / Child
Name Of Second Participant / Child (If Applicable)
Ball Hockey (Ages 5-10)
DSLR Workshop (Ages 18+)
Halloween Pumpkin Workshop (Ages 5+)
Kung Fu (Ages 5-10)
Little Medical School: Cat Vets in Training
Multi-Sport (Ages 3-5) - Mornings
Multi-Sport (Ages 3-5) - Evenings
Multi-Sport (Ages 6-8)
Parented Multi-Sport - Evenings
Pound - Session 2
Prince Basketball (Ages 5-7) - S1
Prince Basketball (Ages 7-9) - S1
Prince Basketball (Ages 9-12) - S1
Yoga Flow - Session 2
State / Province
Have you, or anyone in your household, traveled outside of Canada in the past 14 days?
Have you, or anyone in your household, tested positive for COVID-19 in the past 14 days?
Are any members of your household currently experiencing any of the following symptoms: fever above 38 degrees Celsius, cough, shortness of breath/difficulty breathing, sore throat, runny nose?
Do you understand and consent to the terms outlined in the COVID-19 lake use information sheet (https://bit.ly/2XZiIwO)?
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