Covid-19 Self Assessment Form

COVID-19 Policy

Dear parents, on behalf of your family, when you visit ThriveKids Inc. or when we visit your home, we ask that you complete and sign the following document every morning, prior to coming to school, so that we may strictly enforce the rules around protecting you and your children from COVID-19. All staff are asked to follow the same procedure prior to coming to work everyday.

Thank you very much and enjoy your day!

Name of Child/Children *

Name of Parent/Caregiver *

First

Last

Program Name *

Pod Name:

Only required if you picked "Learning Pods."

Parent/Caregiver's phone number *

Healthcard # of Child/Children *

Are you or your child/children currently experiencing any of the following symptoms? *

Fever
Soar Throat
Cough
Runny Nose
Shortness of Breath
Body Aches
None

Have you been in close contact with a known suspected case of COVID-19 within the last 14 days? *

Close contact is defined as being within 2 meters (6ft) of the person, having cared for, having lived with, or spent more or less 15 minutes with the person.

Have you traveled to or from an area with a current COVID-19 outbreak within the last 14 days? *

If so, please list the area:

Do you intend to travel outside of the Country in the upcoming weeks? *

If so, please list the departure destination:

Additional Info

Date and Time *

I agree that the completed form above is true.

Name

If you have answered Yes to questions 1,2, or 3, you may not enter this job site until at least 14 days and are free of COVID-19 symptoms without the use of medication. Please note that you may want to seek the attention of a medical professional.

Thank you for your understanding and cooperation.

Access Back to School after Illness Form

Address

873 St. Clair Ave. West
Toronto, On M6C 1C4

Phone

416-805-5541

Email

Info@thrivekidsacademy.com