Viking Nordic Center COVID Contact and Compliance Form. You only need to fill out one form for your family.
We are required by the State of Vermont to collect your contact information for contact tracing purposes each time you visit us. This information is only kept for 30 days. We will not share your information with anyone but the VT Dept. of Health and only if there is a need for contact tracing.
We are required to ask you to attest that you have followed the state requirements for quarantine prior to your visit, or are fully vaccinated (defined as two weeks past your second dose) and that you understand that failure to comply with the state’s travel and quarantine policy may result in the loss of future skiing and snowshoeing privileges.
Sign in to Google
to save your progress.
Date of your visit
Home address: street, town, state, zip
Phone number or numbers where you can be reached
Additional members in your family group. Please list name and whether they are an Adult or Child. Please write NONE if you are a party of one.
In order to visit us, you must attest that all members of your party are feeling well, do not have a temperature and have followed the quarantine requirement or are two weeks post a second vaccination dose.
I attest that all members in my party are listed above, and all have followed the State of Vermont requirements prior to our visit.
Option 2 - I can not attest to the above: If you have to click Option 2, it is not a good day to visit.
Never submit passwords through Google Forms.
This form was created inside of Viking Nordic Center.