COVID-19 Daily Screening Checklist (under 18)
Due to the Coronavirus (COVID-19) outbreak we are taking extra precautions with the care of every member to include session tracking, social distancing protocols and enhanced sanitation/disinfection procedures in accordance with the Alberta Heather Services. This form MUST be filled out EVERY SESSION.
If your child has traveled outside Canada in the last 14 days, follow the Government of Canada Travel, Testing, Quarantine and Borders instructions, including any requirements for exempt travelers related to attending high-risk environments. International travelers who become a case of COVID-19 after arrival in Alberta should follow isolation requirements outlined by the Government of Canada. If your child has received a message from Public Health indicating that they are a case4 of COVID-19 or if your child has tested positive on a rapid test, they are required to isolate as per Public Health instructions. For more information on isolation requirements after a positive rapid test, refer to the Rapid Testing at Home website.
Will be updated to reflect any Government of Alberta and Alberta Health Services changes to questions and requirements.
Alberta Gymnastics Federation | Last Updated: January 2022
1. Has your child been a household contact of a case of COVID-19 in the last 14 days?
A household contact: a person who lives in the same residence as the case OR who has been in frequent, long-duration, close-range interaction with a case of COVID-19. For example, siblings, someone who slept over, or someone who provided direct physical care to the child.
YES NO
If the answer is “YES” AND they are NOT fully immunized :
Child should stay home and NOT attend school, childcare and/or other activities for 14 days from the last day of exposure and monitor for symptoms.
If child answered “YES” and they are fully immunized5 proceed to question 2:
If the answer is “NO” to question 1, proceed to question 2
2. Does the child have any new onset (or worsening) of the following other symptoms:
If the child answered “YES” to any symptom in question 2:
• If the child is fully immunized5 they are required to isolate for 5 days from onset of symptoms or until symptoms resolve3 whichever is longer. They must wear a mask for up to 5 days after their isolation period if you are outside of the home in a public place or otherwise in the company of other persons out of your household (no exceptions permitted) OR
• If they are NOT fully immunized5 , they must isolate for 10 days from the onset of symptoms or until they resolve3 whichever is longer OR
• Until symptoms resolve3 if they receive a negative PCR COVID-19 test OR
• Until symptoms resolve3 if they receive two negative rapid antigen tests, with at least 24 hours between tests
• They can use an at-home rapid test if available or 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 2, proceed to question 3.
3. Does the child have any new onset (or worsening) of the following other symptoms:
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 3:
• Keep your child home and monitor for 24 hours and consider giving child an at-home rapid test. If the test is positive or negative see below for further instructions.
• If at-home rapid testing is not done and the symptom is improving after 24 hours, your child can return to school and activities when they feel well enough to go.
• If the symptom does not improve or worsens after 24 hours (or if additional symptoms emerge), use an at-home rapid test if available or 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 3:
• Keep your child home
• Use an at-home rapid test if available or use the AHS Online Assessment Tool or call Health Link 811 to determine if testing is recommended.
For at-home rapid testing result instructions for those without symptoms:
• If an at-home rapid test is done and is negative, they can return to school and activities as long as they remain asymptomatic.
• If at-home rapid test is positive, the child is required to isolate as outlined above for question 2
If the child answered “NO” to all questions:
• Your child may attend school, childcare 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 or two negative rapid test results at least 24 hours apart and feel better.
3 Symptoms resolved means symptoms have improved and with no fever for 24 hours without the use of fever reducing medication
4 A lab-confirmed case OR a probable case as defined in the Alberta COVID-19 Notifiable Disease Guideline
5 A child who has received the complete vaccine series for COVID-19 and it has been 14 days after the second dose in a two dose series
Please accept all conditions.