Roster Exception Form

Team Name: *

Team Level *

Name of person completing this form: *

Role with team: *

Email Address: *

Phone Number: *

Reason you are completing this form: *

A positive COVID-19 test has reduced the number of skaters able to participate.

An injury has taken place on-site at the competition.

Have you completed the COVID-19 Protocol Response form? *

Yes

Have you completed an on-site injury report form? *

Yes

Number of skaters planned to compete on ice: *

Number of skaters actually competing on ice: *

Additional Notes: *