COVID-19 Screening Tool -Please complete this form at least two hours before attending EVERY class or work shift hosted by Kids SuperGym - Mississauga (on-site or off-site) ***FORM NEEDS TO BE COMPLETED FOR EACH PERSON ENTERING THE FACILITY***
Answer the following questions to help you decide if you should or should not go to any Kids SuperGym - Mississauga Programming (class, camp, etc.) today.

COVID-19 vaccine side effects
You CAN go to class, camp, etc., if you or anyone in your household got a COVID-19 vaccine in the last 48 hours and is experiencing any of these symptoms that are mild and only began after vaccination:

*fatigue (extreme tiredness)
*muscle aches
*joint pain

You must stay home if you have COVID-19 symptoms or are waiting for test results after experiencing symptoms.

Everyone in your household (unless they are fully vaccinated) must also stay home until you get a negative COVID-19 test result, or you are cleared by public health, or you are diagnosed with another illness. Get a COVID-19 test (not a rapid antigen test) if you have symptoms of COVID-19 or are a contact of a known COVID-19 case.

Anyone who is sick or has any symptoms of illness, including those not listed in this screening tool, should stay home and seek assessment from their health care provider if needed.

This screening cannot diagnose you. If you have medical questions, consult a health care provider or your local public health unit.  Listen to the advice of your local public health unit first, as their advice overrules the advice in this screening.

You must screen for COVID-19 EVERY DAY before going to class, camp, etc.

Sign in to Google to save your progress. Learn more
Email *
I am taking this screening as a: *
First Name of participant / staff / visitor (fill out separate form per individual) *
Last Name of participant / staff / visitor (fill out separate form per individual) *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy