COVID-19 Screening
This screening must be completed BEFORE attending Windsor Dance eXperience Inc., either the Facility (866 Walker Road) or events.

A Parent / Guardian can fill this out on behalf of a Member.

If you require assistance, in-person screening will be available. Please notify president@windsordanceexperience.ca in advance. Please note this could result in delayed entrance, as screening could take up to five (5) minutes to complete.
Enter today's date. *
Enter the date you are completing this screening. The screening must be completed on the day of attending WDX.
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Name of person attending Windsor Dance eXperience Inc. *
First and last name of the person who will be attending WDX. If you are a Parent / Guardian completing this on behalf of your Member, please name the Member.
*
If you answered YES to a question you must contact president@windsordanceexperience.ca before attending Windsor Dance eXperience Inc.
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