Covid 19 Contact Tracing (Whitchurch Stouffville Minor Hockey Association)

Print Covid 19 Contact Tracing
This form needs to be filled out prior to every time your player enters any of the arenas in the Town of Whitchurch-Stouffville. The information will only be used to notify anyone that may have come into contact with a positive case of Covid 19. The information is being held internally with the WSMHA .
Contact Information
  1. RadDatePicker
    RadDatePicker
    Open the calendar popup.
  2. Example: ###-###-####
  3. Example: [email protected] Your submission will be sent to this address.
  4. U9 Group 1
  5. black #55
Covid Questions
If you answer "YES" to any of the questions below, you will be refused entry into the facility.
Consent
  1. input parent or guardian name
Human Validation
Printed from wsmha.com on Friday, September 18, 2020 at 9:59 AM