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Child Care COVID-19 Screening Tool for Attendees

If you are staff or a worker going to the child care program, please use the COVID Pre-screening Tool for workers. If you are a Private Home Child Care Provider, please use the COVID Pre-screening Tool for Providers.

*** NOTE: If fever reducing medication was given 24 hours prior to attending, entrance will not be allowed. ***

Please complete all questions and submit your results. Once submitted, an email will be sent to the email address provided in the tool below. This email must be shown prior to entering the child care program. If you do not show the email, you will be asked to fill in the form again and show the email at that time. Thank you for your co-operation.

Each child will need their own form completed.

The Ontario COVID-19 Self-Assessment Tool must be completed as part of the active screening requirements. Follow this link: COVID-19 screening tool for students and children in school and child care settings ( 

Personal information is collected for the purpose of complying with provincial orders related to the COVID-19 pandemic and the Municipal Freedom of Information and Protection of Privacy Act.  None of your personal information will be shared, rented, sold or otherwise released to any third party without your consent.

Any questions about this collection should be directed to: Rosanne Marinaro.

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