Lakecrest Online Screening Form
Prior to entering Lakecrest, ALL visitors are asked to complete this form to confirm you are symptom-free, are safe to enter our campus, and have adhered to all Provincial and Federal guidelines.  Failure to complete this form will prevent you from entering the premises.

Please ensure you click the SUBMIT button after completing all sections of the form.
Sign in to Google to save your progress. Learn more
What is the name of the person entering Lakecrest? *
For contact tracing purposes, please record your phone number. *
What is the date you are entering Lakecrest? *
Do you confirm you are symptom-free, and are not currently required to self-isolate due to a positive test result or a provincial/federal travel restriction?
Clear form
Never submit passwords through Google Forms.
This form was created inside of Lakecrest Independent School. Report Abuse