Contact Tracing

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Name *

First

Last

How Many # in your party *

Must be from same household

Arrival Date *

Departure Date *

Phone *

Email *

Please enter your email, so we can follow up with you.

Site Number Visiting

Only if known

If you answer "YES" to any of the following questions, do not enter the premises.

Question: 1

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

Question 1 *

Has a doctor, health care provider, or public health unit told you that you should currently be isolating (staying at home)?

Question 2 *

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

Question 3 *

Have your received a COVID Alert exposure notification on your cell phone in the last 14 days (and have not been tested or waiting for your result)?

Question 4 *

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

Question 5 *