Edmonton Community League Contact Tracing Form
Hi there, thanks for using the Community League ice rink this year. In an effort to keep everyone safe and notify you of a potential COVID-19 exposure please fill out the following contact tracing form.

Data from this form is collected under the current public health guidelines from the Chief Medical Officer of Health and will only be used to contact you in the event you may have come in contact with COVID-19 while using the ice. Data will be deleted every two weeks.

In filling out this form you agree to follow current public health guidelines while using the ice rinks (i.e., physical distancing, respecting Community League ice rink capacity limits etc).

If you fall ill on the ice please see this document: https://docs.google.com/document/d/1nFsherk5-QaJYHfcCCCbuk-Wg1tGa1y12W3v9-qpDXo/edit?usp=sharing

If you end up testing positive for COVID-19 within 14 days of being on the ice, please email or let your Community League know. You can find their contact information by going to https://efcl.org/facility-map/

Thanks for doing your part and keeping your Community Safe.

If you have any questions pertaining to this form you can email the Edmonton Federation of Community Leagues at leaguesupport@efcl.org
Your name is? *
Please input either your email address or cell phone number so that we contact you in the case of a potential COVID-19 exposure. *
Which Community League Ice Rink are you using today? *
Below is a COVID-19 screen. Please select yes to indicate if you did the screen or no if you did not prior to entering the ice rink. *
Captionless Image
Never submit passwords through Google Forms.
This form was created inside of Edmonton Federation of Community Leagues. Report Abuse