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KTA League Spring 2021
Playing Tennis Safely
TTC COVID-19 Form
TTC-Registration/Waiver
Home
League
KTA League Spring 2021
Playing Tennis Safely
TTC COVID-19 Form
TTC-Registration/Waiver
Home
League
KTA League Spring 2021
Playing Tennis Safely
TTC COVID-19 Form
TTC-Registration/Waiver
COVID-19 Screening Questions
Full Name
*
Email Address
*
Symptom and exposure screening questions (check all that apply)
A. Do you have a new onset, or worsening, of any ONE of the following symptoms?
*
Fever > 38°C or subjective fever/ chills
Cough
Sore throat/ hoarse voice
Shortness of breath/ breathing difficulties
Loss of taste or smell
Vomiting or diarrhea for more than 24 hours
None of the above
If you have any one of the above symptoms, DO NOT ENTER THE INDOOR FACILTY.
B. Do you have a new onset, or worsening, of any TWO of the following symptoms?
*
Runny nose
Muscle aches
Fatigue
Conjunctivitis (pink eye)
Headache
Skin rash of unknown cause
Nausea or loss of appetite
None of the above
If you have any two of the above symptoms, DO NOT ENTER THE INDOOR FACILTY. If you have only one symptom in section B and it has been less than 24 hours since it started, stay home and avoid contact with others
Exposure history
*
1. Have you, or a member of your household, been in close contact (within 2 meters/ 6 feet for more than 10 minutes) in the last 14 days with a confirmed COVID-19 case or been in contact with anyone who is waiting for COVID-19 test result?
2. Have you been exposed to COVID-19 in a work or public setting?
3. Have you, or a member of your household, travelled outside of Canada or within Canada in the past 14 days?
4. Is a member of your household sick with COVID-19 symptoms?
5. Are you, or a member of your household, waiting for COVID-19 testing results?
None of the above.
If you have exposure to any of the above, DO NOT ENTER THE INDOOR FACILITY.
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