Covid-19 | Théâtre Paradoxe

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(514) 931-5204

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Health Declaration - COVID-19

How do you feel today ?

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Last name

E-mail

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Dated

I do not have symptoms such as: fever, cough, sore throat

I have not been in close contact with a patient with COVID-19 in the past 14 days

I haven't returned from a trip outside the country for less than two weeks

I declare that the information I have provided is correct and complete

Thank you for what you sent !

5959 Boulevard Monk, Montreal, QC H4E 3H5, Canada

(514) 931-5204

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Site published since 2018 through Paradox Theater

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