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Health Declaration

Please fill out the following health declaration form in order to participate in our activity. Submissions are valid up to 24 hours prior to the activity.

Required Screening Questions

1 - Do you have any of the following new or worsening symptoms or signs?  Symptoms should not be chronic or related to other known causes or conditions.
Fever or chills
Difficulty breathing or shortness of breath
Sore throat, trouble swallowing
Runny nose/stuffy nose or nasal congestion
Decrease or loss of smell or taste
Nausea, vomiting, diarrhea, abdominal pain
Not feeling well, extreme tiredness, sore muscles
2 - 
Have you travelled outside of Canada in the past 14 days for non-essential purposes?
3 - 
Have you had close contact with a confirmed or probable case of COVID-19?
If the individual answers NO to all questions from 1 through 3, they have passed and can enter the workplace.
Essential workers who travel outside of Canada for work purposes should not be excluded entry.
If the individual answers YES to any questions from 1 through 3, they have not passed and should be advised that they should not enter the workplace (including any outdoor, or partially outdoor, workplaces).  They should go home to self-isolate immediately and contact their health care provider or Telehealth Ontario (1 866-797-0000) to find out if they need a COVID-19 test.

Thanks for submitting!

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