Athlete Attestation Form U16S

Athlete Attestation Form 2020-2021 Season U16S
PARENTS/GAURDIANS *
In the last 14 days, have you or anyone you’ve had close contact with experienced any of the symptoms listed by Nova Scotia Public Health related to COVID19? * I.e Fever, cough, fatigue, nasal congestion, sore throat, headache, shortness of breath, etc. *
PARENTS/GAURDIANS *
In the last 14 days, have you or anyone you’ve had close contact with tested positive or been diagnosed by a healthcare provider with Covid-19 *
PARENTS/GAURDIANS *
In the last 14 days, have you or anyone you’ve had close contact with been instructed to self-isolate by a healthcare provider? *Due to a suspected exposure to a confirmed or probable COVID19 case. *
PARENTS/GAURDIANS *
In the last 14 days, have you or anyone you’ve had close contact with travelled outside of the Atlantic Provinces? NS, NB, PEI, NL.