METRO MOVEMENT COVID-19 FORM
Please complete this form 3 hours before your scheduled class. Only submit this form within 24 hours of your scheduled class(es).
Entry will be denied to any person who answers "Yes" to one or more of the following questions.
Email address *
Name (first & last): *
Date (when completing this form)? *
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Date (of class you will be attending): *
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Time (when completing this form): *
Time
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What class(es) will you be attending? *
Have you been directed by a health care provider, including public health officials, to self isolate? *
Have you traveled outside of Canada, or been in close contact with anyone who has traveled outside of Canada, in the past 14 days? *
Do you have a confirmed case of COVID-19 or are you currently awaiting test results? * *
Do you have any of the following new or worsening symptoms? Symptoms should not be chronic or related to other known causes or conditions. Please check all that apply. *
Required
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