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.
Email *
Name *
Phone number
1: Have you traveled outside of Canada in the last 14 days? *
2: Have you tested positive for COVID-19 in the past 14 days? *
3: Have you had close contact with someone who has tested positive for COVID-19 in the past 14 days without wearing appropriate Personal Protective Equipment? *
4: Have you lived or worked in a facility known to be experiencing an outbreak of COVID-19 in the past 14 days? *
5: Are you experiencing any of the following symptoms? *
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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