Covid-19 Daily Health Screen Form

Date
Name
Email Address
Aquatic Programs
Which programs are you attending?
Travel History
Have you or anyone in your household travelled outside of Canada in the past 14 days?
Covid-19
In the last 14 days, have you had contact with someone who has had symptoms such as cough and/or fever, or been diagnosed with Covid-19?
Symptoms Check
Have you or anyone in your household experienced any of the following symptoms in the last 14 days?
Symptom Declaration
Parent/Caregiver Responsibility
No Refund Policy

A confirmation email is on it's way!