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Daily COVID-19 Daily Screening for Day Campers

In accordance with the Ontario Ministry of Health COVID-19 Guidance for Summer Day Camps, all parents/guardians of campers attending Film.Ca Cinemas Summer Camps are expected to complete this self-assessment form daily, prior to arriving at camp on behalf of their child.
One assessment form needs to be filled out per child each day.
If any of your responses indicate “please keep camper home”, you are required to keep your child home.

All fields required

COVID-19 Summer Camp Daily Check in Form
Does the child or any member of your household have any one of the following symptoms: fever, new onset of cough, worsening chronic cough, shortness of breath, difficulty breathing, sore throat, difficulty swallowing, decrease or loss of sense of taste or smell, chills, headaches, unexplained fatigue/malaise/muscle aches, nausea/vomiting, diarrhea, abdominal pain, pink eye (conjunctivitis), runny nose/nasal congestion without other known cause? *
Has the child travelled outside of Canada in the past 14 days? *
In the last 14 days, have the camper been in close contact with someone who currently has a confirmed case of COVID-19? (This includes getting a COVID alert exposure notification. “Close contact means: being less than 2 metres away in the same room, workspace, or area; living in the same home; being in the same classroom/space) *