Covid19 Screening

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Covid-19 Health Declaration

How are you feeling today?

First Name

Last Name

Email

I am not experiencing the symptoms: fever, cough, sore throat, nausea and vomitting, headache, loss of taste or smell or aches

I haven’t been in close contact with a Covid-19 patient or any person with symptoms in the last 14 days

I have not travelled in past 14 days

Initials

Date

I declare that the info I’ve provided is accurate & complete

Thanks for keeping us all safe!

PEAK9 Dog Training

403-519-1524