Covid Screening - 8:30pm Clinic (Apsley Minor Hockey)

Print Covid Screening - 8:30pm 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
    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
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Printed from on Tuesday, September 21, 2021 at 3:14 AM