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KCFSC Session Tracking and COVID Questionnaire

Select a session to open

Monday at KSC
4:00 PM to 7:00 PM
Tuesday at KSC
4:00 PM to 7:00 PM
Wednesday at KSC
4:00 PM to 7:00 PM
Thursday at KSC
4:00 PM to 7:00 PM
Friday at KSC
6:00 AM to 8:00 AM
Saturday at KSC
12:00 PM to 3:00 PM
Sunday at KSC
8:00 AM to 10:00 AM

Session Name Here

First Name
Last Name
Phone
User
Location

Do any of the following apply to you?

1. Do you have a fever (a temp of 37.8C or higher)?
2. Do you have any of the following symptoms which are new or worsened if associated with allergies, chronic or pre-existing conditions: cough, shortness of breath, sore throat, difficulty swallowing, loss of taste or smell, runny nose, sneezing or nasal congestion ?
3. Have you or someone in your household travelled outside of Canada or had close contact with anyone that has travelled outside of Canada in the past 14 days?
4. Have you had close contact in the past 14 days with anyone with a new cough, fever or difficulty breathing or a confirmed case of COVID-19?
5. In the past 14 days have you been directed by Public Health to self-isolate?

Your Answer

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