KITSCOTY ARENA - REQUIRED HEALTH FORM This form MUST be filled out by a legal guardian or person 18 years of age. Must be filled out at the start of every week, before the player/players are allowed on the ice for the session! * Required Email Names of Family participants — First and Last Name Name of person filling out form Participants Division Skating U7 (Initiation) U9 (Novice) U11 (Atom) U13 (Peewee) U15 (Bantam) U18 (Midget) Monarchs Rec Rental Other: In the last few days have you had any of the following? have had a fever? have had a hard time breathing and/or cough? had a headache? feeling excessively tired? has had a loss of smell or taste? has been around someone diagnosed with COVID-19? have visited outside of Canada in the last 14 days? NONE of these symptoms apply to the participant(s) Other I acknowledge that by submitting this form, intending to be legally bound, I agree to release the liability and to fully indemnify and hold harmless Kitscoty Agricultural Society-Kitscoty Arena I AGREE I DISAGREE Other: Submit Return to Home Page
