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COVID 19 Self-Declaration Form

(must be completed by athletes, coaches and all those present at training/event)

Required prior to each weekend training session.

If any symptoms arise following the completion of this declaration, you must not attend training

I understand that some planned sanctioned trainings/activities may not be able to go ahead, or be cancelled, if there are changes in health restrictions and guidelines put in place by the Provincial/Territorial and/or Federal Governments regarding health guidelines. In the event that I start to present any of the symptoms mentioned above once training or the competition has begun, I agree to immediately notify my Coach or a Support Staff and I accept that I will need to go to an isolated a room until I can safely leave the training/competition site. This questionnaire is confidential. However, I consent to Canada Snowboard/PTSA or Fraser Valley Snowboard Club communicating certain information collected to the appropriate authorities if necessary. I have taken note of the sanitary measures in my club and in Province/Territory. I understand that these measures are put in place to protect the health and safety of everyone. Since zero risk does not exist, I also understand that despite the measures put in place, there still remains a risk of contracting COVID-19. I agree to comply with these measures and all the directives of the Provincial/Territorial and Federal authorities in regard to COVID-19 and I accept the risk of participating in sanctioned activities.

Athlete Name*

Do you have symptoms of COVID-19 such as fever, cough, difficulty breathing (if YES, the participant must not attend training)

Have you been in close contact with someone who is either currently exhibiting any of the above symptoms or has exhibited any of the above symptoms in the past 14 days?

In the past 14 days have you been in close contact with someone who has a laboratory confirmed or presumptive COVID-19 diagnosis?

Have you been outside the country in the past 14 days?

By attending the session, you are attesting that you have not answered ‘Yes’ to any of the questions above and that Fraser Valley Snowboard Club's screening process cannot detect asymptomatic individuals.*

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