OAAA Away Game Health Screening (Orono Amateur Athletic Association)

Print OAAA Away Game Health Screening

This health screening form should be filled out prior to any OAAA away game. The form only needs to be filled out once per player & spectator as the form contains a spot for both the player and spectator information.

Player & Spectator Information

Player/Coach Name^*

Enter Coach name here if coach does not have a player on the team
Player/Coach Team^*
Parent/Guardian/Spectator Name^*

If none, please indicate N/A
Contact Phone Number ^*

Example: ###-###-####

Arena Information

Away Game Arena^*
Newcastle Arena
McKinney Centre
Delpark Homes Centre
Iroquois Park Sports Centre (IPSC)
Harmon Park Arena

Date & Time of Away Game^*

Open the calendar popup.

Open the time view popup.

Health Screening

Do you have a fever? ^*
YesNo
Feel hot to the touch, temperature above 38.8C
Do you have a new cough within the last two weeks?^*
YesNo
Do you have shortness of breath?^*
YesNo
Do you have a sore throat?^*
YesNo
Have you travelled outside Canada in the past 14 days or had close contact with anyone that has travelled outside of Canada in the past 14 days does not have a Government of Canada Travel Exemption?^*
YesNo
Have you had close contact in the past 14 days with anyone with active respiratory illness or an active confirmed or probable case of COVID-19 while not wearing PPE?^*
YesNo