TRIPLE ARTS

DANCE STUDIO | CAMBRIDGE

Dance classes for Kids in Cambridge, Ontario

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226.444.5078

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Covid-19 Daily Pre Screen

To participate in studio activities, each student must complete this form prior to arriving to the studio.

Student Name

Last Name

Name of person filling out this form

Email

My body temperature is lower than 98.6°F/ 37.5°C

I am not experiencing the symptoms: fever, cough, sore throat

I haven’t been in close contact with a Covid-19 patient in the last 14 days

Initials

Date

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

OFFICE HOURS

MONDAY-FRIDAY

5.30PM - 8.30PM

CONTACT US

125 Turnbull Crt.

Unit 4-6

Cambridge, Ontario

Tel: 226.444.5078

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