Member sign in & COVID self assessment.
If you answer yes to any of the following questions we kindly ask that you visit the club another time. Thank you
Date
*
-
Month
-
Day
Year
Date
Member # OR Phone # for NON Members
Name
First Name
Last Name
Are you currently feeling any of the following symptoms?
Fever and/or chills
Cough or shortness of breath
Sore throat or difficulty swallowing
Loss of taste and/or smell
Nausea, vomiting, diarrhea, stomach pain
In the last 14 days have you
tested positive for COVID 19?
traveled outside of Ontario?
been in close contact with someone who currently has COVID-19?
None of the above
COVID Risk Acknowledgement
I acknowledge the contagious nature of COVID 19 and voluntarily assume the risk.
I agree to adhere to all safety protocols including wearing a mask when required and maintaining a physical distance.
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