By filling out the information below, I consent and acknowledge that I will not enter the Joe Thornton Community Centre, Parkside High School, or Arthur Voaden High School throughout the 2021-2022 season if I have any of the following covid-19 related symptoms:

1. Fever, new cough, difficulty breathing.

2. Muscle aches, fatigue, headache, sore throat.

3. Runny nose or diarrhea.

I further acknowledge that:

1. I have not travelled outside Canada in the last 14 days.

2. I have not been in close contact with someone who has COVID-19 (household or workplace).

3. I have not been in close contact with someone who has recently travelled outside of Canada or someone who is in self-Isolation.

I fully acknowledge the risks involved with playing basketball during the COVID-19 pandemic and agree that the City of St. Thomas, Elite Stars Elgin, or Jesse Foster will not be held liable if I experience any injury or illness related to COVID-19. By filling all the required fields of this form, you are agreeing to the terms and this is your digital signature.