Crossings COVID Screening Questionnaire
Before attending class or entering the studio, we kindly ask that you complete the following health & safety questionnaire...
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Please check the box if you have any of the following symptoms:
Fever (greater than 38.0C)
Shortness of breath/Difficulty breathing
Or ... I feel FIT TO DANCE!
Have, you travelled outside of Canada in the last 14 days?
Have you been in "close contact" in the last 14 days with someone who is confirmed to be a case of COVID-19?
Are you currently being investigated as a suspected case of COVID-19?
Have you tested positive for COVID-19 within the last 10 days?
Signature (First & Last Name)
Send me a copy of my responses.
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