Simcoe Contemporary Dancers COVID-19 Pre-Screening Questionnaire
Please complete this form prior to attending any live events with Simcoe Contemporary Dancers. Thank you!
Please provide your contact information including name, phone number, and email address *
Have you traveled outside of Canada within the last 14 days and/or been asked to quarantine within the last 14 days? *
Have you been in close contact with anyone who has traveled outside of Canada in the last 14 days? *
Have you tested positive for COVID-19 and/or had close contact with a confirmed case of COVID-19 in the last 14 days? *
Have you experienced any cold or flu-like symptoms within the last 14 days? *
I confirm the information I've provided above is accurate *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy