Questions for Leaside players prior to practice or game. Name* First Last Email*Form submission will be emailed to you so that you may provide proof to coaching staff upon arrival at the arena. Enter Email Confirm Email Division*SelectFundamentalsLearn to PlayIntro to HockeyU9 (Novice)U11 (Atom)U13 (Peewee)U15 (Bantam)U18 (Midget)IntermediateSeniorAre you currently experiencing any of the following symptoms?*• fever • cough • difficulty breathing • sore throat • runny nose • loss of taste or smell • not feeling well • nausea, vomiting, diarrheaYESNOHave you or your immediate family been in close contact with someone who is sick or has confirmed COVID-19 in the past 14 days?*YESNOHave you returned from travel outside of Canada in the past 14 days?*YESNOIf you answer YES to any of these questions, stay home and self-isolate right away. Call Telehealth or your health care provider, to find out if you need a test. toronto.ca/covid-19 CommentsThis field is for validation purposes and should be left unchanged.