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Covid-19 Active Screening Form

Effective September 22, 2021 anyone seeking access to Goddards Studio must complete the following active screening form BEFORE entering the premises.

*Please complete one form per family.

Are you currently experiencing one or more of the symptoms below that are new or worsening? Symptoms should not be chronic or related to other known causes or conditions.
In the last 14 days, have you travelled outside of Canada AND been advised to quarantine (as per the federal quarantine requirements)?
In the last 10 days, have you been identified as a “close contact” of someone who currently has COVID-19? If public health has advised you that you do not need to self-isolate (e.g. you are fully immunized or have tested positive for COVID-19 in the last 90 days and since been cleared), select “No.”
Parent/Guardian's reason for entering Goddards Studio.
Are you fully vaccinated with proof of double vaccination?
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