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Swimming
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Blended CPR Level C Add-On
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Blended CPR Level C Add-On
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My Account
About
Swimming
Pre-School Lessons
Blended CPR Level C Add-On
Youth Lessons
Power Swimmers
Junior Lifesaving
Adult/Teen Lessons
Red Cross Instructor
COVID Screening
COVID Protocol
Register
First Aid
Blended CPR Level C Add-On
Stay Safe
Babysitting
CPR / AED
Emergency First Aid
Standard First Aid
Register
COVID SCREENING CHECKLIST
COVID SCREENING FORM
1. In the last 10 days, have you tested positive on a rapid antigen test or home-based self-testing kit?
Yes
No
2. In the last 14 days, have you travelled outside of Canada?
Yes
No
If exempt from federal quarantine requirements as directed by the border agent at your point of entry (for example, you have two or more doses of a COVID-19 vaccine and have met the specific conditions or an essential worker who crosses the Canada-US border regularly for work), select "No."
3. Are you currently experiencing any of these symptoms: Fever and/or chills, Cough or barking cough (croup), Shortness of breathe, Decrease or loss of taste or smell, Extreme tiredness, Sore throat, Runny or stuffy/congested nose, Headache, Nausea, Vomiting, and or Diarrhea?
Yes
No
4. In the last 10 days, have you received a COVID Alert exposure notification on your cell phone?
Yes
No
5. In the last 10 days, have you been identified as a "close contact" of someone who currently has COVID-19 (confirmed by a PCR or rapid antigen test)?
Yes
No
6. In the last 10 days, has someone you live with: been sick with symptoms associated with COVID-19, and or tested positive for COVID-19 (on a rapid antigen test or PCR test)?
Yes
No
First and Last Name
Date of Lesson
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Exposure Flow Chart