KIDSRKIDS Parent / Child Health Screening Agreement
By filling out this form, you are agreeing to FULLY assess your child's health as well as your own for entry into our program.  You are agreeing to DAILY, before leaving home, review the following:  https://novascotia.ca/coronavirus/docs/Daily-COVID-checklist-en.pdf and determine if you are healthy enough to enter the program.  
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Your Child’s name *
Your name is: *
Your email in HiMama is: *
Your cell phone in HiMama is: *
I will read / review the screening list everyday prior to bringing my child on the following website: https://novascotia.ca/coronavirus/docs/Daily-COVID-checklist-en.pdf and I will NOT bring them to school if they are ill and they have either a fever or cough or if they have two or more of the other listed symptoms.  Additionally, I will not enter the program to drop my child off or to pick my child up if I have any of these symptoms.  TYPING YOUR FULL NAME SERVES AS A DIGITAL SIGNATURE. *
I will make certain each day to confirm whether there are any active COVID cases in Nova Scotia  https://novascotia.ca/coronavirus/data/ and if so to review the list of potential exposure locations posted with dates and times on the government website to ensure that we do not enter the program if we have been to those locations during those dates and times and we will contact public health to determine our next course of action.   I will check this information here:  http://www.nshealth.ca/covid-exposures   TYPING YOUR FULL NAME SERVES AS A DIGITAL SIGNATURE. *
Today's date is: *
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