NEW! OGHA Covid-19 Screening Form 2021/2022 (Orangeville Tigers Girls Hockey)

Print NEW! OGHA Covid-19 Screening Form 2021/2022
This form must be filled out by all staff, parents/guardians, siblings and participants who are entering the rink each and every time they enter.
Individual Information
Please note: This Health Screening questionnaire has been developed in conjunction with the OWHA and is based on the Ontario Ministry of Health Covid-19 Screening Tool (updated September 2021).
  1. RadDatePicker
    Open the calendar popup.
Travel Outside of Canada
The symptoms listed here are most commonly associated with COVID-19. Choose any/all that are new, worsening, and not related to other known causes or conditions that you already have.

  1. Check All That Apply
Positive Test(s)
You may be asked to confirm your screening. Please be prepared to show your confirmation email.
  1. Example: [email protected] Your submission will be sent to this address.
Human Validation