COVID-19 Self Declaration Form for Facility Access

RJC High School is seeking to limit non-essential guests on campus this year. To ensure the safety of our community, staff and students, we ask that you complete this form within an hour of entering our campus. We also ask that all guest contact the school prior to their arrival. Please call (306) 232-4222 during the school day or (306) 232-2152 (Boys' Dean) or (306) 232-2123 (Girls' Dean).
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Are you expereiencing any of the following symptoms? (if yes, check box) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Have you or anyone in your houshold been outside of Canada in the last 14 days? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Have you or anyone in your household been exposed to anyone who has tested positive for the COVID-19 virus in the last month? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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If you have checked yes to any of the above questions, or symptoms, please call 811 for instructions prior to arriving on campus. 

COVID-19 Self Declaration Form for Facility Access

COVID-19 Self Declaration Form for Facility Access

RJC High School is seeking to limit non-essential guests on campus this year. To ensure the safety of our community, staff and students, we ask that you complete this form within an hour of entering our campus. We also ask that all guest contact the school prior to their arrival. Please call (306) 232-4222 during the school day or (306) 232-2152 (Boys' Dean) or (306) 232-2123 (Girls' Dean).
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Phone {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Email {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Date {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Time of arrival on campus {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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What is the purpose of your visit to the RJC campus? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Are you expereiencing any of the following symptoms? (if yes, check box) {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Have you or anyone in your houshold been outside of Canada in the last 14 days? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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Have you or anyone in your household been exposed to anyone who has tested positive for the COVID-19 virus in the last month? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }
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If you have checked yes to any of the above questions, or symptoms, please call 811 for instructions prior to arriving on campus.