Youth Lessons - St. Albert Nordic COVID-19 Checklist
If you answer yes to any of the following statements, please stay home and use the AHS Online Assessment Tool to determine if testing is recommended.
Email address *
This form must be completed by the participant or their legal guardian prior to attending each lesson.
Participant Name (not parent) *
Lesson Time
Clear selection
Does the person attending the activity have any of the following symptoms
Have you, or anyone in your household, travelled outside of Canada in the last 14 days? If so and the individual travelled for work and is not displaying symptoms, you may select no. *
Required
Have you or your children attending the program had close unprotected contact (face-to-face contact within 2 meters/ 6 feet) with someone who is ill with cough and/or fever?
Have you or anyone in your household been in close unprotected contact in the last 14 days with someone who is being investigated or confirmed to be a case of COVID-19? *
Required
If you answer yes to any of the above, please stay home and use the AHS Online Assessment Tool to determine if testing is recommended.
A copy of your responses will be emailed to the address you provided.
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