COVID-19 Self-Screening 2021-22
Please fill in a separate response for EACH family member participating in a program today.
Sign in to Google to save your progress. Learn more
Name *
Program *
I have completed and passed the daily Ontario COVID-19 School and Child Care Screening at (for under 18) .  For Adults:  I have completed and passed the Government of Ontario Screening: *
If you answered "No" to the previous question, please do not attend the session.  
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy