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COVID-19 Self Assessment

All YMCA of Simcoe/Muskoka Members will be asked to complete this 4-question digital COVID-19 health screening upon arrival.

This tool will help you determine if it is safe for you and those in your party to participate. The screening data is secure and won’t be collected or shared in any way – it’s simply a way for you to know if it is safe for you and others to participate.

April 14, 2024 10:19 am

In order to enter the YMCA, you must agree to ALL of the following statements:

1. I, nor anyone in my household, have any symptoms including: a fever greater than 38℃, cough, shortness of breath or difficulty breathing, sore throat, runny nose.

2. Within the last 10 days, I, nor anyone in my household have had close contact with a person who has a confirmed and active case of COVID-19 while not wearing the recommended Personal Protective Equipment.......................................................................

3. I, as well as anyone in my household, have adhered to all quarantine, isolation, and self-assessment requirements associated with travel outside Canada.

4. I, as well as anyone entering the YMCA with me (over 3 years of age) have a face covering to wear as required by local City by-laws.

I ATTEST on behalf of myself, and/or on behalf of the minor(s) (as applicable), that currently, and in the last 10 days, I have not, and/or the minor(s) (as applicable) has not: (1) experienced symptoms of COVID-19 (as presently described by the local health unit); (2) to my knowledge, been exposed to a person with a confirmed or suspected diagnosis of COVID-19; or (3) been diagnosed with COVID-19. I attest on behalf of myself, and/or on behalf of the minor(s) (as applicable), that I am, and/or the minor(s) (as applicable) is, following recommended public health guidelines as much as possible which includes, without limitation, adherence to applicable travel guidelines and quarantine protocols, practicing physical distancing, maintaining a separation of at least 6 feet or 2 meters from others, minimizing prolonged (more than 10 minutes), close (less than 2 meters) contact with other individuals in public, wearing a mask in accordance with provincial and public health guidelines, engaging in proper hand and otherwise limiting my exposure, and/or the minor(s)’s (as applicable) exposure, to COVID-19. I understand that if I develop, and/or the minor(s) (as applicable) develops, any symptoms of COVID-19 or I am otherwise, and/or the minor(s) (as applicable) is otherwise, unable to make any of the attestations described in herein, I agree, and/or the minor(s) agrees, that I will, and/or the minor(s) will, refrain from attending the YMCA Facilities and participating in Activities, and no portion of any payments made to YMCA of Simcoe/Muskoka shall be refundable under such circumstances.

By selecting ‘yes’, you agree to the above statements and attestation, and will be permitted to enter the YMCA. By selecting, ‘no’, you do not agree to the above statements and attestations, and you will be denied entry to the YMCA.


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