COVID-19 Declaration of Compliance

2020 - 2021 Membership Signup

STEP 6 - COVID-19 Declaration of Compliance

WARNING!  ALL INDIVIDUALS ENTERING THE FACILITY AND/OR PARTICIPATING IN SANCTIONED ACTIVITIES MUST COMPLY WITH THIS DECLARATION.

The North Grenville Curling Club, Curling Canada and the Ontario Curling Association  (collectively the “Organization”) require the disclosure of exposure or illness is in order to safeguard the health and safety of all participants and limit the further outbreak of COVID-19. This Declaration of Compliance will be kept safely, and personal information will not be disclosed unless as required by law or with your consent. 

An individual (or the individual’s parent/guardian, if the individual is younger than the age of majority) who is unable to agree to the terms outlined in this document is not permitted to enter the Organization’s facilities or participate in the Organization’s activities, programs, or services. 

I, the undersigned being the individual named above and the individual’s parent/guardian (if the individual is younger than the age of majority), hereby acknowledge and agree to the terms outlined in this document:

  1. The novel coronavirus, COVID-19, has been declared a worldwide pandemic by the World Health Organization and COVID-19 is extremely contagious. The Organization has put in place preventative measures to reduce the spread of COVID-19 and requires all individuals (or their parent/guardian, when applicable) to adhere to the compliance standards described in this document.
  2. The individual has not been diagnosed with COVID-19; OR If the individual was diagnosed with COVID-19, the individual was cleared as noncontagious by provincial or local public health authorities more than 14 days prior to the date this Declaration of Compliance was signed.
  3. The individual has not been exposed to a person with a confirmed or suspected case of COVID-19; OR If the individual was exposed to a person with a confirmed case of COVID-19, the date of exposure was more than 14 days prior to the date this Declaration of Compliance was signed.
  4. The individual is attending or participating voluntarily and understands the risks associated with COVID-19. The individual (or the individual’s parent/guardian, on behalf of the individual (when applicable)) agrees to assume those risks, including but not limited to exposure and being infected.
  5. The individual has not, nor has anyone in the individual’s household, experienced any signs or symptoms of COVID-19 in the last 14 days (including fever, new or worsening cough, fatigue, chills and body aches, respiratory illness, difficulty breathing, nausea, vomiting or diarrhea, pink eye, or loss of taste or smell). 
  6. If the individual experiences, or if anyone in the individual’s household experiences, any signs or symptoms of COVID-19 after submitting this Declaration of Compliance, the individual will immediately isolate, notify the Organization, and not attend any of the Organization’s facilities, activities, programs or services until at least 14 days have passed since those symptoms were last experienced. 
  7. The individual has not, nor has any member of the individual’s household, travelled to, or had a lay-over in any country outside Canada in the past 14 days. If the individual travels, or if anyone in the individual’s household travels, outside Canada after submitting this Declaration of Compliance, the individual will not attend any of the Organization’s facilities, activities, programs or services until at least 14 days have passed since the date of return. 
  8. The individual is following recommended guidelines, including but not limited to, practicing physical distancing, trying to maintain separation of six feet from others, adhering to recognized hygiene best practices, and otherwise limiting exposure to COVID-19. 
  9. The individual will follow the safety, physical distancing, and hygiene protocols of the Organization.
  10. This document will remain in effect until the Organization, per the direction of the provincial government and provincial health officials, determines that the acknowledgements in this Declaration of Compliance are no longer required. 
  11. The Organization may remove the individual from the facility or from participation in the activities, programs or services of the Organization at any time and for any reason if the Organization believes, in its sole discretion, that the individual is no longer in compliance with any of the standards described in this document.

 I acknowledge that I have read, understand and agree to the Release, Waiver and Agreement above. 

 

NAME of PRIMARY CONTACT (PARENT or LEGAL GUARDIAN):

 

___________________________________________________________________

 

Signature: ____________________________________________________________________

 

Date (MM/DD/YY): _____________________________________________________________ 

 

Clearly PRINT the names of your children participating in the Little Rocks / Instructional Program and/or the Youth Development League. 

 

___________________________________________

 

___________________________________________

 

___________________________________________

 

___________________________________________

 


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email: [email protected]

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Our club sports 5 sheets of world class ice that are in constant use by adults and kids alike. We run various leagues throughout the week and are sure there is something that can fit into your busy schedule. Our fees are very reasonable when compared with other fitness programs.  If you require assistance in selecting a league that is right for you or your family, look for membership and league information under CURLING and/or send us an email.

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