Synchronized Skating Qualifying Competition
COVID-19 Protocol Questionnaire

Team Information

What is your team's travel status? *

Contact Information

Please provide the information for one contact for your team who will be responsible for communicating with the member of your competition's medical team responsible for COVID-19 protocol. This must be a coach or team manager.

Travel & Competition Information


COVID-19 Information

Has a member of your team tested positive for COVID-19 (skater, coach, team manager, team service personnel) and it is less than 10 days until your departure date for the competition? *
Has this person come in close contact (less than 6 feet for a period of time of 15-minutes or more) with the skaters on your team? NOTE: if the positive test came from a skater, this answer should be yes. *
Was the individual who tested positive around the team (i.e. at practice) within 48 hours before the positive test or onset of symptoms? *
Are all team personnel for this team (coaches, team service personnel, team managers) up-to-date on their COVID-19 vaccinations? *
Are all skaters for this team, regardless of age eligibility, up-to-date on their COVID-19 vaccinations? *
Have skaters from this team previously tested positive between 11 and 90 days of departure and completed a 10-day isolation period? *
If unvaccinated skaters (who have not previously tested positive for COVID-19) are not permitted to attend the competition based on medical evaluation, will this effect your ability to compete with the minimum number of skaters required for your level? *
Have all other members of the team (excluding the person already identified as testing positive, if applicable) been able to produce a negative COVID test? *
Are any other members of your team (excluding the person already identified as testing positive) displaying any symptoms of COVID-19: fever/chills, cough, shortness of breath or difficulty breathing, fatigue, muscle or body aches, headache, new loss of taste or smell, sore throat, congestion or runny nose, nausea or vomiting, diarrhea? *
Did the infected individual come into contact with any other teams scheduled to compete? *
Please complete an additional form for each team impacted. 
Powered byFormsite