Covid-19 Health Declaration

How are you feeling today?

First Name

Last Name

Your Session Name

Your Session Date

Body temperatures of me and other members (who will come to the photoshoot) are LOWER than 98.6°F/ 37.5°C

I and other members (who will come to the photoshoot) are NOT experiencing any of these symptoms: fever/chills, difficult breathing or shortness of breath, cough, sore throat, trouble swallowing, runny nose/stuffy nose or nasal congestion, decrease or loss of smell or taste, nausea, vomiting, diarrhea, abdominal pain, not feeling well, extreme tiredness, sore muscles

I and other members (who will come to the photoshoot) have NOT travelled outside of Canada or had close contact with anyone that has travelled outside of Canada in the past 14 days

I and other members (who will come to the photoshoot) have NOT had close contact with a confirmed or probable case of COVID-19 in the past 14 days

Initials

Date

I declare that the info I have provided here is accurate & complete

Thanks for submitting!

If you could not fill the above form to declare your health for any reason,

please contact us directly!