HCA Covid-19 Pre-Entry Survey
All students 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 student's class to be valid.
Student Last Name *
Student First Name *
Does the student, or anyone in your household, have any of the following symptoms? *
Required
Does the student have any of the following symptoms? *
Required
Has the student traveled internationally within the last 14 days (outside Canada)? *
Has the student had close contact with a confirmed or probable COVID-19 case? *
Has the student had close contact with a person who is sick with new respiratory symptoms or who recently travelled outside Canada in the last 14 days? *
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