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
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.
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
before attending Windsor Dance eXperience Inc.
I answered NO to ALL QUESTIONS. I am ABLE to attend Windsor Dance eXperience Inc.
I answered YES to a A QUESTION. I must contact
BEFORE attending Windsor Dance eXperience Inc. (Facility OR event).
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