COVID-19 Health Check - U7 (IP) (Lakefield Minor Hockey)

Print COVID-19 Health Check - U7 (IP)
Once you have completed this form your coach will receive a copy. You may only complete this form: 1. No sooner than 4 hours before your scheduled ice time; or 2. No later than 1 hour before your scheduled ice time.
U7 (IP) Team ONLY
Who is this screening form being completed for?
  1. A copy of your form submission will be sent to this address as confirmation
Screening Questions - Section 1
If you answer "YES" to any of the symptoms under this section your child should stay home to isolate immediately. Contact your child's health care provider for further advice or assessment.
Screening Questions - Section 2
If you answer yes to ONLY 1 of these questions, your child should stay home for 24 hours from when the symptom started. If the symptom is improving, your child may return to hockey when they feel well enough. A negative COVID-19 test is NOT required to return. If the symptom persists or worsens, contact your child's health care provider for further advice or assessment. If you answered YES to two or more of the symptoms in Section 2 your child should stay home to isolate immediately. Contact your child's health care provider for further advice or assessment.
Screening Questions - Section 3
If you answer yes your child should stay home to isolate immediately and follow the advice of public health. If your child develops symptoms, you should contact your local public health unit or your child's health care provider for further advice
Screening Questions - Section 4
If you answer yes your child should stay home to isolate immediately and follow the advice of public health. If your child develops symptoms, you should contact your local public health unit or your child's health care provider for further advice
Screening Questions - Section 5
If you answer yes your child should stay home to isolate immediately and follow the advice of public health. If your child develops symptoms, you should contact your local public health unit or your child's health care provider for further advice
  1. Results of Screening Questions

    If you answered “YES” to any of the symptoms included under question 1:
    •Your child should stay home to isolate immediately.
    •Contact your child’s health care provider for further advice or assessment, including if your child needs a COVID-19 test or other treatment.

    If you answered “YES” to only one of the symptoms included under question 2:
    •Your child should stay home for 24 hours from when the symptom started.
    •If the symptom is improving, your child may return to hockey when they feel well enough to do so. A negative COVID-19 test is not required to return.
    •If the symptom persists or worsens, contact your child’s health care provider for further advice or assessment, including if your child needs a COVID-19 test or other treatment.

    If you answered “YES” to two or more of the symptoms included under question 2:
    •Your child should stay home to isolate immediately.
    •Contact your child’s health care provider for further advice or assessment, including if your child needs a COVID-19 test or other treatment.
    •Your child should stay home to isolate immediately and follow the advice of public health.
    •If your child develops symptoms, you should contact your local public health unit or your child’s health care provider for further advice.

    If you answered “NO” to all the questions, your child may go to hockey.
Human Validation
Printed from lakefieldminorhockey.ca on Saturday, October 24, 2020 at 10:35 AM