Health Screening Questionnaire (Markham Waxers)

Print Health Screening Questionnaire
The OHF Health Screening Questionnaire must be completed by every participant no more than 4 hours before the start of every Waxers session.
  1. DEFINITIONS

    Registered Participant

    Any person, Club, Team , Association, league, Sports School, Residential School or similar entity Registered with the OHF or any of its Members, or any person affiliated with or associated with, in any capacity whatsoever, any Club, Team, league, Sports School, Residential School or similar entity participating in game or activities of any kind sponsored or organized by the OHF or any of its Members, including but not limited to the parents or legal guardians of any minor aged participant Registered in OHF programming, shall not have membership status within the OHF but, rather shall be referred to throughout these By-Laws as a "registered participant".

    Close Physical Contact

    Being less than 2 metres away in the same room, workspace, or area for over 15 minutes; OR, living in the same home.

    INTERNATIONAL TRAVELERS

    As per the Government of Canada, Persons exempt from mandatory quarantine due to COVID-19, include:

    • Certain persons are exempt from the mandatory quarantine requirement when entering Canada for the purposes of performing an essential job or function as identified in the Order.
    • This exemption does not apply to anyone who has signs and symptoms of COVID-19


    Essential
    refers to travel for reasons that are non-discretionary and non-optional. The emergency orders under the Quarantine Act do not allow people to travel to Canada for optional or discretionary reasons, such as for tourism, recreation, or entertainment.

    SYMPTOMS

    Priority Symptoms

    • Fever / chills
    • Cough
    • Shortness of breath
    • Decreased / loss of smell / taste


    Secondary Symptoms

    • Sore throat
    • Stuffy nose and/or runny nose
    • Headache
    • Nausea and/or vomiting and/or diarrhea
    • Fatigue, lethargy, muscle aches, or malaise

    SCENARIOS

    1. The registered participant has no symptoms.

      If yes, the registered participant is eligible to engage in all OHF sanctioned programs.

    2. The registered participant developed only one SECONDARY symptom and no PRIORITY symptoms. 24 hours have passed since the symptom started and the symptom is improving.

      If yes, the registered participant is eligible to engage in all OHF sanctioned programs.

    3. The registered participant had:

      • One or more of the PRIORITY symptoms, OR

      • One or more of the SECONDARY symptoms that persisted or worsened, OR

      • Two or more of the SECONDARY symptoms

      AND

      1. A COVID-19 test was POSITIVE but 10 days have passed since symptoms started. No fever is currently present and symptoms have resolved or have been improving for at least 24 hours.

        If yes, the registered participant is eligible to engage in all OHF sanctioned programs.

      2. A COVID-19 test was NEGATIVE. Symptoms have been improving for at least 24 hours. Note: Mild symptoms like a runny nose may be ongoing as long as other symptoms have resolved.

        If yes, the registered participant is eligible to engage in all OHF sanctioned programs.

      3. A COIVD-19 test was NOT PERFORMED but 10 days have passed since the symptoms began. No fever is currently present and symptoms have resolved or have been improving for 24 hours.

        If yes, the registered participant is eligible to engage in all OHF sanctioned programs.

    4. The registered participant did not have symptoms compatible with COVID-19 infection and a COVID-19 test was POSITIVE but 10 days have passed since the date of the test and no symptoms are present.

      If yes, the registered participant is eligible to engage in all OHF sanctioned programs.

    5. The registered participant had close physical contact with someone who had a POSITIVE test for COVID-19:

      1. The registered participant's COVID-19 test was NEGATIVE on two occasions separated by at least 5 days.

        If yes, the registered participant is eligible to engage in all OHF sanctioned programs.

      2. The registered participant was tested for COVID-19 only once and this test was negative OR the registered participant did not have a COVID-19 test performed. 14 days have passed since the symptoms since the date of exposure and no symptoms are present.

        If yes, the registered participant is eligible to engage in all OHF sanctioned programs.

    6. The registered participant had close physical contact with someone who is suspected of having COVID-19 or has been tested for COVID-19 but results have not been received:

      1. The registered participant’s COVID-19 test was NEGATIVE

        If yes, the registered participant is eligible to engage in all OHF sanctioned programs.

      2. The registered participant did not have a COVID-19 test performed. 14 days have passed since the close physical contact and no symptoms are present.

        If yes, the registered participant is eligible to engage in all OHF sanctioned programs.

    7. The registered participant had close physical contact with an international traveler who returned to Canada:

      1. The traveler is exempt from mandatory quarantine due to COVID-19 and no symptoms are present.

        If yes, the registered participant is eligible to engage in all OHF sanctioned programs.

      2. The traveler is not exempt from mandatory quarantine due to COVID-19 AND the registered participant’s COVID-19 test was NEGATIVE.

        If yes, the registered participant is eligible to engage in all OHF sanctioned programs.

      3. The individual is not exempt from mandatory quarantine due to COVID-19 AND the registered participant did not have a COVID-19 test performed. 14 days have passed since the close physical contact and no symptoms are present.

        If yes, the registered participant is eligible to engage in all OHF sanctioned programs.

    If a registered participant answers no to any scenario, the registered participant is NOT eligible to engage in any Waxers session.

Participant Information
  1. Participants include players, coaches, trainers, and spectators.
  2. If you are a coach, trainer, or spectator, enter your name.
  3. Example: ###-###-####
  4. Choose the scenario described in the OHF Health Screening Questionnaire (text above) under which the participant is eligible to participate on the date indicated below.
  5. RadDatePicker
    RadDatePicker
    Open the calendar popup.
  6. Example: [email protected] This is the email address to which your confirmation will be sent.
Session Information
  1. RadDatePicker
    RadDatePicker
    Open the calendar popup.
    Date of Waxers session
  2. Location of Waxers session
  1. I consent to the use of my first and last name as entered above as the parent/guardian of the registered participant or as a participant myself to be used as an electronic signature in lieu of an original signature on paper.
  2. Based on the criteria laid out in the OHF Health Screening Questionnaire, I confirm that the participant named above is eligible to engage in all OHF sanctioned programs. 
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Printed from waxers.com on Wednesday, December 2, 2020 at 5:04 PM