Covid Screening - 6pm Clinic (Apsley Minor Hockey)

Print Covid Screening - 6pm Clinic
Once you have completed this form, the AMHA will receive a copy. You may only complete this form no sooner than 4 hours and no later than 1 hour before your scheduled ice time. Thank-you for your cooperation.
Player/Parent Information
  1. Please enter first and last name
  2. Please enter first and last name or leave blank if you are bench staff or if player is attending alone
  3. A copy of your form submission will be sent to this address as confirmation
  4. RadDatePicker
    RadDatePicker
    Open the calendar popup.
Screening Questions
The answer to all questions must be “No” in order to participate in any and all hockey activities.
Human Validation
View AllOur Sponsors
  • Marvel Rapids
  • Mike Shee Carpentry
  • Harbour Hill
    
  • Plunkett Propane
  • AB Construction
  • Total Electric
    
Social Networking
Follow Us On
Follow Apsley Minor Hockey on Twitter
- and -
Visit Apsley Minor Hockey on Facebook
Manage Subscriptions
Signup to receive email or text messages for the teams you want to follow.
Printed from apsleyminorhockey.com on Tuesday, September 21, 2021 at 4:41 AM