COVID-19 Screening

  • In order to meet Health Canada guidelines and local COVID-19 prevention policies we require students to complete the form below prior to each lesson.
    The form must be completed at least 15 minutes prior to entering our studio in order for the student to be granted entrance. Anyone entering the studio must wear a mask. We ask that the driver remain in their vehicle if possible.
  • Date Format: MM slash DD slash YYYY
  • YOUR CONTACT INFORMATION


    We ask that only the student and/or driver enter the studio premises.
  • Name of person dropping student off at Renée’s Music Studio
    • Sore throat
    • Hoarse Voice
    • Difficulty swallowing
    • Decrease or loss of sense of taste/smell
    • Runny nose/sneezing without other cause
    • Chills
    • Headaches
    • Unexplained fatigue/malaise
    • Diarrhea
    • Abdominal pain
    • Nausea/vomiting
    • Pink eye (conjunctivitis)
    • Nasal congestion without other known cause
    • Children have been more commonly reported to have abdominal symptoms, and skin changes or rashes

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