All answers must be “No” in order to participate in basketball activity.
Your name
Contact Information
Club
Coach
Location
Fever YesNo Sneezing/Runny Nose YesNo Cough YesNo Sore Throat YesNo Shortness of Breathe YesNo Loss of Taste or Smell YesNo Have you traveled outside of Canada in the past 14 days YesNo Have you had close contact with a confirmed or probable case of COVID-19? YesNo
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