Session Screening Checklist (under 18)
Will be updated to reflect any Government of Alberta and Alberta Health Services changes to questions and requirements.
Alberta Gymnastics Federation | Last Updated: June 30 2021
I understand/agree that by answering YES to any questions, on any given day throughout the noted session, the participant noted above is required to remain home and will not be allowed to attend or participate in any activity or program.
1. Has the child traveled outside Canada in the last 14 days?
YES NO
If the child answered “YES”:
- The child is required to quarantine for 14 days from the last day of exposure.
- If the child develops any symptoms, use the AHS Online Assessment Tool or call Health Link 811 to determine if testing is recommended.
If the child answered “NO”, proceed to question 2
2. Had close contact with a case of COVID-19 in the last 14 days?
YES NO
Face-to-face contact within 2 meters for 15 minutes or longer, or direct physical contact such as hugging
Note: A health care worker in an occupational setting wearing recommended personal protective equipment is not considered to be a close contact
If the child answered “YES”:
You are required to quarantine for 14 days from the last day of exposure, except:
• Previously tested positive for COVID-191 in last 90 days before exposure:
• No quarantine required. Monitor for symptoms for 14 days.
• Fully immunized2 against COVID-19
• No quarantine required. Monitor for symptoms for 14 days.
• Partially immunized3 against COVID-19:
• Quarantine for 10 days. If tested on day 7 or later after exposure, quarantine ends after receiving a negative test result.
If the child answered “NO” or if they have symptoms, proceed to question 3.
3. Does the child have any new onset (or worsening) of the following core symptoms:
Temperature of 38 degrees Celsius or higher
Continuous, more than usual, not related to other known causes or conditions such as asthma
Continuous, out of breath, unable to breathe deeply, not related to other known causes or conditions such as asthma
Not related to other known causes or conditions like allergies or neurological disorders
If the child answered “YES” to any symptom in question 3:
• The child is to isolate for 10 days form onset of symptoms OR receive a negative COVID-19 test and feel better before returning to activities.
• Use the AHS Online Assessment Tool or call Health Link 811 to arrange for testing and to receive additional information on isolation.
If the child answered “NO” to all of the symptoms in question 3, proceed to question 4.
3. Does the child have any new onset (or worsening) of the following othersymptoms:
Without fever, not related to being outside in cold weather
Not related to other known causes/conditions, such as seasonal allergies or reflux
Not related to other known causes/conditions, such as seasonal allergies or being outside in cold weather
Lack of energy, poor feeding in infants, not related to other known causes or conditions, such as depression, insomnia, thyroid dysfunction or sudden injury
Not related to other known causes or conditions, such as anxiety, medication or irritable bowel syndrome
Not related to other known causes or conditions, such as anxiety or medication
Not related to other known causes or conditions, such as arthritis or injury
Headache
YES NO
Not related to other known causes or conditions, such as tension-type headaches or chronic migraines
(commonly known as pink eye)
If the child answered “YES” to ONE symptom in question 4:
- Keep your child home and monitor for 24 hours.
- If their symptom is improving after 24 hours, they can return to school and activities when they feel well enough to go. Testing is not necessary.
- If the symptom does not improve or worsens after 24 hours (or if additional symptoms emerge), use the AHS Online Assessment Tool or call Health Link 811 to check if testing is recommended.
If the child answered “YES” to TWO OR MORE symptoms in question 4:
- Keep your child home.
- Use the AHS Online Assessment Tool or call Health Link 811 to determine if testing is recommended.
- Your child can return to school and activities once their symptoms go away as long as it has been at least 24 hours since their symptoms started.
If the child answered “NO” to all questions:
- Your child may attend school, child care and/or other activities
Please note: If your child is experiencing any symptoms from the lists above, do not bring them to visit a continuing care or acute care facility for 10 days from when symptoms started/until symptoms resolve (whichever is longer), unless they receive a negative COVID-19 test result and feel better.
1 A lab-confirmed case OR a probable case as defined in the Alberta COVID-19 Notifiable Disease Guideline
2 Fully-immunized = 14 days after receiving the second dose of a two does vaccine series OR 14 days after receiving one dose of a one-dose vaccine series.
3 Partially-immunized = 14 days after receiving the first does of a two-dose vaccine series NOTE: Individuals who are profoundly immunocompromised and fully immunized should follow quarantine protocol for partially immunized individuals; those who are partially immunized should follow the protocol for those who have not been immunized. Profoundly immunocompromised person should always consult with their primary care provider if exposed.
Please accept all conditions.