Self Screening Submission (Pickering Minor Hockey Association)

PrintSelf Screening Submission

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Your form has been submitted.
Thank you for completing the online PHA Covid-19 Self Screening Questionnaire.
IMPORTANT - PLEASE PRINT A COPY OF YOUR SUBMISSION FORM
(this is your email confirmation)

Please bring this with you to show to PHA Staff upon entry into the facility. If you do not bring this form with you to your ice session - you will be required to fill out a paper form at the facility before participating in the PHA activity or pass a verbal screening at the door. 



If you are feeling unwell or are showing symptoms of Covid-19, please refrain from attending any PHA on-ice activities. 

Thank you for helping keep members of the PHA safe and healthy.