COVID-19 SCREENING FOR CPS PROGRAM

Please fill out the following health declaration form in order to participate in our activity. Submissions are only valid the day of your visit.
Are you/the person attending the CPS program presenting with a Fever?
Are you/the person attending the CPS Program experiencing a new or worsening cough?
Have you/the person attending the CPS Program have close contact with acute respiratory illness?
Do you/the person attending the CPS program have a confirmed case of Covid-19, or had close contact with a confirmed case of Covid-19?

Supporting over 150 infants, children and adults living with a developmental disability in our community.

Email: info@clkd.ca

Phone: 519-396-9434

Registered Charity: 889487849RR0001

  • Instagram
  • White Facebook Icon
  • White Twitter Icon

CLKD adheres to the Canadian Anti-Spam Legislation (CASL) and will not share your address with outside parties.

© Community Living Kincardine & District 2019  |  Terms of Use  |   Privacy Policy

PWULogo.png

Website created with support from the Power Workers' Union