Screening and Contact Tracing Log Submission 21-22 (Flamborough Hockey Association Inc.)

Screening and Contact Tracing Log Submission 21-22

Team Representative - Upload

Information on the Volunteer that submitted the Screening and Contact Tracing Log on behalf of the FHA team.

First Name^*

Required

Last Name^*

Required

Phone Number^*

Required

Example: ###-###-####

Email Address^*

Required

Date of Game/ Practice^*

Required

Time of Game/Practice^*

Required

Flamborough Team Division^*

Required

Team Name(s)^*

Required

Please make sure the image shows the complete Screening and Contact Tracing Log and is readable.

Upload Screening and Contact Tracing Log ^*

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf.
Maximum # Files: 3. Maximum File Size: 4MB.

Enter your Email Address for Receipt Copy

Example: [email protected]. Your submission will be sent to this address.