CAMP MAPLE LEAF
Jacob's Island, Ontario
COVID-19 Screening Tool

Please complete before coming to camp. If you answer YES to the question, you/your child are/is not eligible to attend/visit camp.

 
First Name:
Last Name:
Phone:
Email:
Parents' Name:
 
PLEASE CONFIRM:
1. Does the camper/staff/visitor have any of the following new or worsening symptoms?*
Fever 37.8°C or higher, Cough, Difficulty breathing, Decrease or loss of taste or smell, Feeling unwell, Sore throat or difficulty swallowing, Runny or stuffy/congested nose, Headache, Nausea, vomitting or diarrhea, Extreme tiredness or muscle aches?
 
*Camper/staff/visitor who have an existing health condition identified by a health care provider that gives them the symptoms should not answer YES, unless the symptom is new, different or getting worse. Look for changes from your child's normal symptoms.

 

CAMP MAPLE LEAF
Office Contact (year round)
132 Reynolds St
Oakville, ON
Canada L6J 3K5
905-338-5200

Island Contact (summer)
378 Fothergill Rd
Ennismore, ON
Canada K0L 1T0
705-657-2222

www.campmapleleaf.ca
info@campmapleleaf.ca