COVID Entry 2021-2022 (Gananoque Minor Hockey)

COVID Entry 2021-2022

Name of player/bench staff/ref/timekeeper/volunteer/executive member ^*

Phone Number^*

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

Name of Companion 1^*

If no spectators enter none.

Name of Companion 2^*

If no spectators enter none.

I/we have answered NO to all mandatory questions.^*

YESNO

An answer of NO prohibits entry to facility.

I have shared this information with our screening volunteer and certify the information above to be true to the best of my knowledge.^*