Minor Novice (U8) Team 7 (Glanbrook Minor Hockey Association)

Print Minor Novice (U8) Team 7

Terms and Conditions:

I acknowledge that I will submit this screener no earlier than 12 Hours of each scheduled session, prior to arriving at the arena. I acknowledge that failure to do so may compromise my registration in the program.

The Participant and Parent (if attending the session) agree to the terms and conditions stated above^*

Session Information

Location Of Session^*

Date and Time of Session^*

Open the calendar popup.

Time of Session^*

Open the time view popup.

Team^*

Participant Information

Please enter participant's info here.

Coach or Player^*
CoachPlayer
Participant's Name^*

Registrant's Date of Birth^*

Open the calendar popup.

Parent/Guardian Info

Please enter the name of the parent/guardian who will be dropping and or joining the participant at their session. ***ONLY 1 PARENT PER PARTCIPANT***

Parent/ Guardian Name
Are you joining the Participant at their session ^*
Parent/ Guardian Cell Phone #^*

Example: ###-###-####
Email Address

A copy of your submission will be sent to this email address

Terms and Conditions: Areyoucurrently experiencingany oftheseissues?Call 911 ifyou are. You cannot participate in on-ice or off-ice activities.

1.  Severedifficulty breathing
  (strugglingforeach breath,
  can only speak in single words)

2.  Severe chestpain (constant tightness or
  crushing sensation)

3.  Feelingconfused orunsureofwhereyouare

4.  Losing consciousness

The Participant and Parent (if attending the session) agree that they are NOT experiencing any of these issues^*
Terms and Conditions: If you are in any of the  following at  risk groups,
we  ask  that you speak with your physician  prior  to participating:

1.  70 years old or older.

2.  Getting  treatment  that  compromises  (weakens)
your  immune  system (for example,
chemotherapy, medication
   for  transplants, corticosteroids,
TNF  inhibitors)

   3.  Having a condition that compromises (weakens)
your  immune system
  (for example, diabetes, emphysema, asthma,
heart condition)

4.   Regularly going to a hospital or
  healthcare setting  for a treatment
    (for example,dialysis, surgery, cancer treatment)

The Participant and Parent (if attending the session) agree that they are NOT in any of the above risk groups^*
Terms and Conditions: The answer to all questions must be “No” in order to
participate in any and all activity (on-ice or off-ice).

1. Are you currently experiencing any of these symptoms?

*Do you have a Fever? (Feeling hot to touch, temperature of 37.8C or higher)
*Chills
*Cough that's new or worsening (continuous.more than usual)
*Barking cough, making a whistle noise when breathing (croup)
*Shortness of breath (out of breath, unable to breathe deepley)
*Sore throat
*Difficulty swallowing
*Runny nose, sneezing, or nasal congestion (not related to seasonal allergies or other known causes or conditions)
*Lost sense of smell or taste
*Pink Eye (conjunctivitis)
*Headache that's unusual or long lasting
*Digestive Issues (nausea/vomiting, diarrhea, stomach pain)
*Muscle aches
*Extreme tiredness that is unusual (fatigue, lack of energy)
*Falling Down often
*For young children and infants: sluggishness or lack of appetite

The Participant and Parent (if attending the session) agree that they are NOT experiencing any of these issues^*
Terms and Conditions: The answer  to all questions must be “No” in order
to participate in any and all activity (on-ice or off-ice).

For the remaining questions, close physical contact
means being less than 2  metres away in  the same  room, workspace, or  area
for  over 15 minutes or living in the same home

*In the last 14 days, have  you  been  in close physical contact with
someone who  tested positive for COVID-19?

*In the last 14 days, have you been in close physical contact
with a person who either:

*Is currently sick with a new cough, fever, or difficulty breathing;

*Or returned from outside of Canada in the last 2 weeks?(This does not include essential workers who cross the Canada-US border regularly.)

*Haveyou travelled outsideofCanada in the last14days?(This does not include essential workers who cross the Canada-US border regularly.)

The Participant and Parent (if attending the session) agree to the terms and conditions stated above are all NO^*
Terms and Conditions: If an individual has answered “Yes” to  any of  these
questions, they are not permitted  to participate in any
on-ice or  off-ice activities.

The Participant and Parent (if attending the session) agree to the terms and conditions stated above that the answers are all NO^*