COVID-19 Health Check for Dancers
The DanceWorks Kenora Health Check must be completed each day that the dancer is attending a class at the studio. Families are responsible for ensuring that the answers have not changed between completing the screening and attending the studio.

Parents/guardians can fill this out on behalf of a child. *If you have more than one dancer attending on a specific day please complete one survey per dancer.*

The information collected in this form is mandatory to attend the studio. If you are uncomfortable disclosing this information through the online form, please contact Erin to conduct an alternative screening method. The information collected in this form will be used for screening purposes only. The information will be used for screening purposes only and will not be disclosed to any party outside of DanceWorks Kenora.
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Name of Dancer *
Name of Parent/Guardian
Required only when a parent/guardian is completing the screening on behalf of a child.
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