COVID-19 SCREENING FORM (NORFOLK MINOR HOCKEY)

Print COVID-19 SCREENING FORM
CONTACT INFORMATION
  1. A receipt of this submission will be sent to the email address provided. This receipt must be shown at the arena door to gain entry.
  2. Example: ###-###-####
COVID-19 SCREENING QUESTIONNAIRE
  1. RadDatePicker
    RadDatePicker
    Open the calendar popup.
    Not required if you have not travelled outside of Canada in the previous 14 days.
Human Validation
Printed from norfolkminorhockey.ca on Wednesday, January 20, 2021 at 8:15 AM