UGDSB Arrival Plan Checklist for Students - Upper Grand

Student Name (In English) *

First

Last

Date of birth (YY/MM/DD) *

I have fully read, understand, and agree to comply with the requirements on the UGDSB ISP Arrival Plan *

I have fully read, understand, and agree to comply with the requirements on the UGDSB ISP Arrival Plan web page (link below) including the Pre-departure, Arrival, Quarantine (self-isolate) and After Quarantine sections

UGDSB ISP Arrival Plan webpage

I am aware that any violation to the quarantine protocol *

I am aware that any violation to the quarantine protocol will result in my immediate removal from the program and return to the care of my parent(s) or legal guardian in my home country, at my own expense

I have registered using the ArriveCAN mobile app *

I have registered using the ArriveCAN mobile app AND completed any necessary provincial Quarantine/Self-Isolation Plan for presentation at the airport upon arrival in Canada

I confirm that I have appropriate medical insurance *

I confirm that I have appropriate medical insurance, effective as of the date of my arrival in Canada, which includes coverage for COVID-19 during the quarantine period

I am to complete a mandatory supervised fourteen (14) days quarantine *

I am to complete a mandatory supervised fourteen (14) days quarantine

I acknowledge that I have a method of transportation *

I acknowledge that I have a method of transportation that will take me directly to my place of quarantine or isolation, without stopping anywhere

I agree to wear a non-medical mask or face covering *

I agree to wear a non-medical mask or face covering while travelling to the place where I will quarantine or isolate

I agree to stay at my place of quarantine or isolation for 14 days *

I agree to stay at my place of quarantine or isolation for 14 days and only leave to seek medical assistance if needed

I understand that I am not allowed to have any guests *

I understand that I am not allowed to have any guests

I will comply with the daily monitoring of my health for COVID-19 symptoms *

I will comply with the daily monitoring of my health for COVID-19 symptoms

I am aware that I need to obtain a self-administered COVID kit (if one is not provided at the airport) and complete the self-administered COVID test on Day 8 of my quarantine in Canada. I am also aware that I need to share these results by emailing them to international.student@ugdsb.on.ca *

I am aware that I need to obtain a self-administered COVID kit (if one is not provided at the airport) and complete the self-administered COVID test on Day 8 of my quarantine in Canada. I am also aware that I need to share these results by emailing them to international.student@ugdsb.on.ca

I understand that a representative of the Government of Canada may call me *

I understand that a representative of the Government of Canada may call me to monitor compliance with my mandatory quarantine or isolation, and I need to answer phone calls from the following number 1-888-336-7735

I understand that the costs associated with the Self-Isolation/Quarantine *

I understand that the costs associated with the Self-Isolation/Quarantine will be the responsibility of the Participant and parent/guardian

I am aware that Violating any instructions provided to me *

I am aware that Violating any instructions provided to me when I entered Canada or failing to provide accurate information is an offence under the Quarantine Act and could lead to up to 6 months in prison and/or $750,000 in fines. If I choose to break my mandatory quarantine or isolation, resulting in the death or serious bodily harm to another person, I could face a fine of up to $1,000,000 or imprisonment of up to 3 years or both. The Contraventions Act has been changed to give police (including the RCMP, provincial and local police) more power to enforce the Quarantine Act. They can now issue tickets to people who don't comply with the act or the emergency orders. Fines range from $275 to $1,000.