COVID-19 Screening & Tracking Form
We require this form to be filled out prior to anyone entering the building.

All parents will be asked the following questions for themselves & their children.
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Email *
Name *
Phone number
1:  Are you experiencing any of the following symptoms? *
2:  Have you tested positive for COVID-19 in the last 14 days? *
3:  Is anyone you live with or your close contacts currently experiencing any COVID-19 symptoms & / or waiting for test results? *
4:  Has a doctor, health care provider or public health unit told you that you should currently be isolating (staying at home)? *
5:  In the last 14 days have you or someone in your household travelled outside of Canada & been told to quarantine (per the federal government requirements)? *
COVID-19 Screening Results

If response to all the screening questions is NO  -  COVID-19 Screen Negative

If response to any of the screening questions is YES  -  COVID-19 Screen Positive

COVID-19 Screen Positive:  Student will be sent home & we recommend a 2-week quarantine & COVID-19 test.
A copy of your responses will be emailed to the address you provided.
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