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Birchmount Gymnastics Centre





I already filled out the form at check-in but wish to record my check-out time. ONLY YOUR EMAIL IS STILL REQUIRED.
You may be asked to record extra information. Ie. Table number, floor or department visited, etc.
18 or older
under 18
  • If you are fully vaccinated, use 5 days
  • If you are not fully vaccinated OR if you are immune compromised, use 10 days
Anyone who is sick or has any new or worsening symptoms of illness, including those not listed below, should stay home until their symptoms are improving for 24 hours and should seek assessment from their health care provider if needed. Household members of individuals with any of the below symptoms should stay home at the same time as the person who is sick, regardless of vaccination status.

If you are symptomatic and tested negative for COVID-19 on a single PCR test or two rapid antigen tests (RAT) taken 24 hours apart, and symptoms have been improving for 24 hours, you may answer “no” to all symptoms.

Choose any/all that are new, worsening, and not related to other known causes or conditions you already have.
  • Fever and/or chills
    • Temperature of 37.8 degrees Celsius/100 degrees Fahrenheit or higher and/or chills.
  • Cough or barking cough (croup)
    • Continuous, more than usual, making a whistling noise when breathing (not related to asthma, post-infectious reactive airways, or other known causes or conditions you already have)
  • Shortness of breath
    • Out of breath, unable to breathe deeply (not related to asthma or other known causes or conditions you already have)
  • Decrease or loss of smell or taste
    • Not related to seasonal allergies, neurological disorders, or other known causes or conditions you already have
  • Sore throat or difficulty swallowing
    • Painful swallowing (not related to seasonal allergies, acid reflux, or other known causes or conditions you already have)
  • Runny or stuffy/congested nose
    • Not related to seasonal allergies, being outside in cold weather, or other known causes or conditions you already have
  • Headache
    • Unusual, long-lasting (not related to tension-type headaches, chronic migraines, or other known causes or conditions you already have)

      If you received a COVID-19 and/or flu vaccination in the last 48 hours and is experiencing a mild headache that only began after vaccination, select “No.”
  • Extreme tiredness
    • Unusual, fatigue, lack of energy (not related to depression, insomnia, thyroid disfunction, sudden injury, or other known causes or conditions you already have)

      If you received a COVID-19 and/or flu vaccination in the last 48 hours and are experiencing mild fatigue and/or mild muscle aches/joint pain that only began after vaccination, select “No.”
  • Muscle aches or joint pain
    • If you received a COVID-19 and/or flu vaccination in the last 48 hours and are experiencing mild fatigue and/or mild muscle aches/joint pain that only began after vaccination, select “No.”
  • Nausea, vomiting and/or diarrhea
    • Not related to irritable bowel syndrome, anxiety, menstrual cramps, or other known causes or conditions you already have
This includes a positive COVID-19 test result on a lab-based PCR test, rapid antigen test or home-based self-testing kit.
  • If you are fully vaccinated, use 5 days
  • If you are not fully vaccinated OR if you are immune compromised, use 10 days
  • You live with someone who is currently isolating because of a positive COVID-19 test
  • You live with someone who is currently isolating because of COVID-19 symptoms
  • You live with someone who is waiting for COVID-19 test results
If the individual isolating has not tested positive for COVID-19 and only has one of these symptoms: sore throat or difficulty swallowing, runny or stuffy/congested nose, headache, extreme tiredness, muscle aches or joint pain, nausea, vomiting and/or diarrhea, select “No.”
If public health guidance provided to you has advised you that you do not need to self-isolate, select “No.”
This can be because of an outbreak or contact tracing.
  • In the last 14 days, have you travelled outside of Canada and were told to quarantine
  • In the last 14 days, have you travelled outside of Canada and were told to not attend school/child care
  • In the last 14 days, someone you live with has returned from travelling outside of Canada and is isolating while awaiting results of a COVID-19 test.