COVID-19 Health Check for Dancers
The DanceWorks Kenora Health Check must be completed before the dancer attends class. Families are responsible for ensuring that the answers have not changed between completing the screening and attending.
Parents/guardians can fill this out on behalf of a child. *If you have more than one dancer attending please complete one survey per dancer.*
The information collected in this form is mandatory to attend classes. If you are uncomfortable disclosing this information through the online form, please contact Erin to conduct an alternative screening method. The information collected in this form will be used for screening purposes only. The information will be used for screening purposes only and will not be disclosed to any party outside of DanceWorks Kenora.
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Name of Dancer
Name of Parent/Guardian
Required only when a parent/guardian is completing the screening on behalf of a child.
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This form was created inside of DanceWorks Kenora.