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Kingsville Public Completed Daily COVID-19 Screening Questions

Child's Name:

5. Is the student currently experiencing any of these symptoms? New, worsening, and not related to other know causes or conditions they already have.

IF the student received a COVID-19 vaccination in the last 48 hours and is experiencing a mild headache that only began after vaccination, select "NO"
IF the student received a COVID-19 vaccination in the last 48 hours and is experiencing mild fatigue and/or mild muscle aches/joint pain that only began after the vaccination, select "NO"
If the individual experiencing symptoms received a COVID-19 vaccination in the last 48 hours and is experiencing mild headache, fatigue, muscle aches, and/or joint pain that only began after the vaccination, select "NO"
Results of Screening Questions
If you answered "YES" to question 1 or 3 DO NOT go to school or childcare.
If you answered "YES" to question 2 DO NOT go to school or childcare.
If you answered "YES" to question 4 DO NOT go to school or childcare.
If you answered "YES" to any of the symptoms included under question 5 or 6 DO NOT go to school or childcare.
If you answered "NO" to all questions, your child may go to school or childcare because they seem to be healthy and have not been exposed to COVID-19
Public Health Ontario - Contact Tracing
Person Completing this Form:

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Discovery
Main Office

46 Division Rd. N
Kingsville, ON

P: 519-733-8202 | F: 519-733-2988

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Jack Miner
Public School

79 Road 3 East, R.R. #2
Kingsville, ON N9Y 2E4

P: 519-733-8875

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Kingsville
Public School

36 Water Street Kingsville,
ON N9Y 1C9

P: 519-733-0105

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St. John De Brebeuf
Catholic School

43 Spruce Street
Kingsville, ON

P: 519-733-6203

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Queen Elizabeth
Public School

4 Maxon Street Leamington,
ON N8H 2E2

P: 519-322-5532

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Gosfield North
Public School

302 County Road 27 Cottam,
ON N0R 1B0

P: 519-839-4646

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