House League Covid 19 Screening Tracker (Stouffville-Markham Girls Hockey)

Print House League Covid 19 Screening Tracker
This form needs to be filled out prior to every time your player enters any of the arenas in the Town of Whitchurch-Stouffville and Markham Arenas. The information will only be used to notify anyone that may have come into contact with a positive case of Covid 19. The information is being held internally with the SMGHA . “This form must be completed on the day of, for every on-ice SMGHA session, for every guardian and player, before entering the facility.”
Contact Information
  5. Example: ###-###-####
  7. Example: yo[email protected]. Your submission will be sent to this address.
Covid Questions
If you answer "YES" to any of the questions below, you will be refused entry into the facility.
  1. By signing and submitting this Covid-19 health-tracking questionnaire, I consent to the use of my first and last name that I have entered below as an adult and/or guardian to be used as an electronic signature in lieu of an original signature on paper
Human Validation