Audition for our one-of-a-kind 2022/2023 Coquitlam Youth Theatre program Find out More!

This form must be completed on the morning of, or up to 2 hours before you enter the Place des Arts facility.

The health and wellbeing of our Place des Arts (PdA) community is our priority. We are taking measures to keep PdA a safe environment for all. 

Therefore, all students aged 18 years and up, and the parents/guardians of students under the age of 18 years, must complete a Student Screening Questionnaire webform on the morning of, or up to two hours before the student will enter the PdA building, or any authorized satellite site hosting PdA programs (“Facilities”) for an in-person rehearsal, lesson or class. 

A questionnaire must be completed for each student if more than one student per household participates in PdA programs on the same day. 

The screening questionnaire is used to identify students: 

  • who may be experiencing COVID-19 symptoms, as characterized most recently by federal and provincial public health officials; 
  • who have knowingly come into close contact with anyone who has tested positive for COVID-19 or who has been ordered to self-isolate (including a member of their household); and/or  
  • who have travelled outside of Canada.  

Student Screening Questionnaire

fever, chills, cough or worsening chronic cough, loss of sense of smell or taste, difficulty breathing, sore throat, loss of appetite, extreme fatigue or tiredness, headache, body aches, nausea or vomiting, diarrhea?
If you answered “yes” to any of these questions, or if the student is experiencing any of the symptoms listed below after completing the questionnaire, contact the PdA registration desk (604 664 1636 ext. 0) as soon as possible.
If you are an Actor with the Summer Teen Theatre Troupe, email  
Thank you for your co-operation in keeping PdA a safe space.
Please check your email for the confirmation to show at the Check-In Desk at Place des Arts (PdA) or to your teacher at any authorized satellite site hosting PdA programs. 
 Note: If the confirmation email does not show up in your email account be sure to check the junk/spam folder.
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