On Stage Dance Studio Health Screening
Screening form must be filled out in full EACH DAY your child comes to dance class, before they will be able to enter class. Thank you!
Child's Name *
Parent/Guardian name *
Today's date *
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Has your child had a confirmed case of Covid-19 or had close contact with someone who has had a confirmed case of Covid-19? *
Has your child travelled outside of Canada in the last 14 days? *
Does your child have any of the following symptoms?Choose "none" if no symptoms are present. *
Required
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