HCA Covid-19 Pre-Entry Survey
All students and staff members must complete a pre-screening survey online each time prior to entering the building. Students will not be permitted to participate in group or private lessons until a parent/guardian has successfully completed the survey.

Please note: It must be completed the DAY OF each class to be valid.
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Last Name *
First Name *
Does the student/staff member, or anyone in your household, have any of the following symptoms? *
Required
Does the student/staff member have any of the following symptoms? *
Required
Has the student/staff member traveled internationally within the last 14 days (outside Canada)? *
Has the student/staff member had close contact with a confirmed or probable COVID-19 case? *
Are you or any member of your household awaiting the results of a COVID-19 test? *
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