Emotion Dance Company - 2021/2022 Programs - COVID-19 Screening
All individuals, including children, parents/guardians, staff, contractors, visitors and volunteers will be screened prior to arrival. Entry will be denied to any person who has any of the following symptoms outlined below.

Pre-Screening prior to class attendance will be required. It may be conducted online, via electronic program, or in person, using the screening questionnaire below.
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Today’s Date *
Student/Staff Full Name *
Did the student or staff travel outside of Canada in the past 14 days? *
Does the student or staff have a confirmed case of COVID-19 or had close contact with anyone with acute respiratory illness or a confirmed case of COVID-19 in the last 14 days? *
Has a doctor, health care provider or public health unit told the student or staff that they should currently be isolating (staying at home)?
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In the last 14 days has the student or staff received a COVID Alert exposure notification via cell phone?
Clear selection
Does the person have any of the following symptoms? *
Please select all that apply
Does the person have any of the following atypical symptoms? *
Atypical symptoms / clinical pictures of COVID-19 should be considered, particularly in children, older persons, and people living with a developmental disability. Atypical symptoms can include: Please select all that apply
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