COVID-19 Health Screening Form
Please complete the following health and screening form to access our banquet facility.
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Email *
Name *
Phone Number *
I am vaccinated against COVID-19 *
Do you have any of the following symptoms? Fever, chills, cough that's new or worsening, loss of taste or smell, trouble breathing, nausea, diarrhea, muscle aches, or extreme tiredness *
Have you travelled outside of Canada in the past 14 days? *
Thank you for completing our COVID-19 screening
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