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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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)?
In the last 14 days has the student or staff received a COVID Alert exposure notification via cell phone?
Does the person have any of the following symptoms?
Please select all that apply
New onset of cough
Worsening chronic cough
Shortness of breath
Decrease or loss of sense of taste or smell
Unexplained fatigue/tiredness/malaise/muscle aches
Nausea/vomiting, diarrhea, abdominal pain
Pink eye (conjunctivitis)
Runny or stuffy nose/nasal congestion without other known cause
None of these symptoms are present
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
Delirium (acute altered metal status and inattention)
Unexplained or increased number of falls
Acute functional decline
Exacerbation of chronic conditions
Multisystem inflammatory vasculitis in children: Presentation may include persistent fever, abdominal pain, conjunctivitis, gastrointestinal symptoms (nausea, vomiting and diarrhea) and rash
None of these atypical symptoms are present
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