Click Here for the COVID-19 Screening Questionnaire

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COVID-19 Acknowledgement

To be involved in ANY of our programs, you must submit this Virtual Acknowledgement Waiver within 12-48 Hours of the program date.

First Name

Email Address

Last Name

Program

Symptoms of COVID-19:

Difficulty Swallowing, Sore Throat, Runny Nose, Dry Cough, Lost of Taste and/or Smell, Headaches, Dizzieness, Nausea, Disgestive Issues, Falling Down, Extreme Tiredness.

City you Reside in

Do you understand that by experiencing any of, but not limited to, the above symptoms would make you ineligible to participate in any Kawartha Football program, and we would recommend all participants to stay home until fully recovered?

Yes

Do you understand that by travelling outside of Ontario within the last 14 Days makes you ineligible to participate in any Kawartha Football program, and you must exercise a 10 Day isolation period before returning to the field?

Yes

Do you agree to follow all Kawartha Football guidelines and policies, including those policies that acquire you to leave any premise if you obtain symptoms to COVID-19?

Yes

Initials

Today's Date

I declare that the info I’ve provided is accurate & complete

Thanks for submitting! You're Ready to Play!