Health Screening Questionnaire

The Health Screening Questionnaire must be completed by each individual prior to participation in each on-ice or off-ice activity. Read the pdf Health Screening Questionnaire

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Are you currently experiencing any of these issues? Call 911 if you are.

  • Severe difficulty breathing (struggling for each breath, can only speak in single words)
  • Severe chest pain (constant tightness or crushing sensation)
  • Feeling confused or unsure of where you are
  • Losing consciousness

If you are in any of the following at risk groups, we ask that you speak with your physician prior to participating.

  • 70 years old or older
  • Getting treatment that compromises, (weakens) your immune system (for example, chemotherapy, medication for transplants, corticosteroids, TNF inhibitors)
  • Having a condition that compromises (weakens) your immune system (for example, diabetes, emphysema, asthma, heart condition)
  • Regularly going to a hospital or health care setting for a treatment (for example, dialysis, surgery, cancer treatment)

Complete the Health Screening Questionnaire on Survey Monkey

OWHA Modified Rules as of Sept 25 2020

OWHA Member Association & Team Covid19 Protocols