Vision Room Studios Screening Form

Due to the current Region of Peel lock down closures, Vision Room Studios is operating under restricted guidelines. During this period, our doors will be open for the following services:

Commercial Photography: Any shoots promoting a brand to promote goods or services.

Film Production: Film and TV Shows production.

Broadcasting Services: Live videos, media agency productions, and streaming Services.

Maximum capacity will be capped at 5 people due to the current Ontario Public Health Mandate. We ask that you and your party wear facial masks upon entering the facility till you are in your rented studio space. Upon entry, temperature checks and sanitation of hands will be administered. Failure to adhere to these guidelines will result in refusal of entry.

Please complete the following form to check-in:

Name

First Name

Last Name

Email

Phone Number

What is the date of your booking?

MM

DD

YYYY

Additional Person(s) Contact Information

Please enter the contact information below for ALL other people in your party attending this booking. This information is for contact tracing purposes only. REQUIRED: FIRST NAME, LAST NAME, PHONE NUMBER

Do you have one or more of the COVID-19 symptoms below?

fever and/or chills • cough or barking cough (croup) • shortness of breath • sore throat • difficulty swallowing • decrease or loss of smell or taste • runny or stuffy/congested nose • headache • nausea/vomiting, diarrhea • muscle aches • extreme tiredness

Yes

No

Have you been identified as a “close contact” of someone who currently has COVID-19 in the last 14 days?

Yes

No

Have you or anyone you live with traveled outside of Canada in the last 14 days?*

Yes

No

Is anyone you live with currently experiencing any new COVID-19 symptoms and/or waiting for test results after experiencing symptoms?

Yes

No

Commercial Shoot, Film Production, or Broadcasting Services?

I agree that the shoot I am booking for falls within the provincial guidelines and uses stated above.

Vision Room Studios Screening Form

Open Daily

11am – 5pm

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