Student Name* First Last Is your son displaying any of the following symptoms: Fever Cough Difficulty breathing Sore throat, trouble swallowing Runny nose Loss of smell or taste Nausea, vomiting, upset stomach Have you been in close contact with someone who is sick or has confirmed Covid-19 in the past 14 days? Have you returned from travel outside Canada in the past 14 days? Is anyone in your household in quarantine as a result of being a "close contact" of someone with Covid-19? * None of the above If your son has any of the above symptoms, DO NOT send him to Cheder until you have completed the "Ontario Covid School and Child Care Screening Form" (https://covid-19.ontario.ca/school-screening/) and follow the directions given. The results should be downloaded and the pdf MUST be emailed to email@example.com.