Keeping Green Island Ice Arena Healthy

You are being asked to take this survey to help us keep Green Island Ice Area healthy.  By completing the survey and submitting your responses, you agree that the information collected can be used by our COVID-19 Committee. The data will be kept confidential and internal to Green Island Ice Arena and will be used solely to determine if you and your skater should be allowed to attend/participate in today's games. 

You may decline to proceed with the survey but doing so may require you and your child not be allowed access to Green Island Ice Arena. 

As a general reminder, masks are REQUIRED for all spectators.  Masks are required to be worn by skaters until they get on the ice, this includes in the locker rooms. 

Question Title

* 1. Skater's name

Question Title

* 2. Attendance Date

Date

Question Title

* 3. Team

Question Title

* 4. Parent/Guardian Name

Question Title

* 5. Have you or your skater had close contact (within 6 feet for at least 15 minutes) in the last 14 days with someone currently diagnosed with COVID-19, or are they a household contact of someone who is awaiting results of a COVID-19 test?

Question Title

* 6. Within the last 24 hours, have you or your skater OR someone in your household experienced the following symptoms above their baseline (i.e. outside their normal symptoms due to pre-existing conditions such as seasonal allergies, migraines, etc.): Cough, fever, vomiting, shortness of breath, difficulty breathing, new loss of smell or taste, or taken medication to reduce a fever.

Question Title

* 7. Within the last 24 hours, have you or your skater or someone in your household had at least two of the following symptoms above their baseline (i.e. outside your normal symptoms due to pre-existing conditions such as seasonal allergies): Congestion, runny nose, fatigue, muscle and/or body aches, sore throat, chills, nausea, diarrhea, headache. 

0 of 7 answered
 

T