twitter
facebook
youtube
instagram
Home
General Info
COVID-19 Health Screening Tool
Covid-19 Policies and Protocols
FAQ
About Us
Our Dance Styles
Our Guarentee
The Studio
Fees / Promotions
Holiday Schedule
Our Videos
The Dance Zone Videos
Fever International Dance Championships
Our Galleries
The Dance Zone Blog
Shop Zone
Registration
Register Your Child
Company Online Auditions
Recreational Programs
Recitals
Rules
Shoes and Attire
Photo Days
Schedules
Competitive Programs
Auditions
Competitions
Workshops
Camps & Events
Birthday Party Sundays
Spring Break Camp
Summer Camp
COVID-19 Safety Guidelines for Camps
Contact Us
Weston Road COVID-19 Health Screening Questionnaire
Email Address:
Full name (of dancer, staff or person entering The Dance Zone:
Phone Number:
Date:
Participant's Temperature Today (indicate C or F):
Have you experienced any of the following symptoms in the last 24 hours ?:
Fever (temperature of 37.8 C / 100.4 F or greater)
New or worsening cough
Runny nose or nasal congestion (unrelated to seasonal allergies, post nasal drip, etc)
Shortness of breath/Difficulty breathing
Sore throat or difficulty swallowing
New smell or taste disorders
Nausea/Vomiting, Diarrhea/Abdominal pain
Chills
Headaches
Unexplained fatigue/malaise/muscle aches
Pink eye (conjunctivitis)
Red/purple discolouration to hands, fingers, feet and/or toes and skin may peel
Croup
Worsening of chronic conditions
None of the above
Have you had close contact with anyone with acute respiratory Illness or travelled outside of Ontario in the past 14 days?:
Yes
No
Have you or anyone in your household tested positive for COVID-19 in the last 14 days?:
Yes
No
Have you or anyone in your household recently been tested for COVID-19 and are awaiting results?:
Yes
No
Have you or anyone in your household had close contact with anyone with a confirmed or probable diagnosis of COVID-19 or who is being tested for COVID-19 within the past 14 days?:
Yes
No
:
A copy of your responses will be emailed to the address you provided.
Spam Verification:
Email Address
Please tick to verify that you are not a robot
Our Clients Say
Thank you to all the wonderful and caring teach...
S.C.
Latest News
Competitive Team Auditions
May 15 2021
It's that time of year again!
We will be holding private online auditions for both our part-t...
Read More
twitter
facebook
youtube
instagram
