COVID-19 Show Home Pre-Screening Declaration Form

For the well-being of our customers, personnel, and community, A&S Homes is taking precautionary measures to prevent the spread of the coronavirus (COVID-19).

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Face masks are required in all A&S Homes.

Our Show Homes are open for private tours only.

Please book an Appointment during regular show home hours.
Monday – Thursday: 5 p.m. – 8 p.m.
Saturday & Sunday: 1 p.m. – 5 p.m.

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Thank you for understanding.


A&S Homes - Home Builders Winnipeg
A&S Homes

COVID-19 Show Home Pre-Screening Declaration Form

  • MM / DD / YYYY

  • This declaration is made in connection with my/our attendance at the property commonly known as (address)*
  • Any other homes not listed above can be listed below to schedule a viewing. Please leave the address below.

  • I/WE confirm the following statements to be true (check all that apply):

  • List A Symptoms (one symptom)
    Sore throat/hoarse voice
    Difficulty breathing
    Loss of taste or smell
    Vomiting or diarrhea for more than 24 hours

    List B Symptoms (two symptoms)
    Runny nose
    Muscle aches
    Pink eye (conjunctivitis)
    Skin rash of unknown cause
    Poor feeding, if an infant
    Nausea or loss of appetite

  • I/WE acknowledge and agree that:

  • To the best of my knowledge everything contained herein is true, and this declaration may be relied upon as having the same force and effect as if made under oath.