Locker Item Retrieval Signup Form
Hello,

To retrieve personal locker items please complete the following form.
***After this group of pickup times are completed we will only be providing dates to retrieve items Monthly. ie 1 time per month in November and 1 time per month in December. Therefore we encourage you to make use of the times below.

THE DOORS WILL BE LOCKED UPON ARRIVAL. Please wait to be greeted and COVID screened at the door.

1. Please bring a mask and photo ID to enter the facility.
2. When you arrive please line up 6ft. apart on the outside of the facility.
3. Before you enter facility, you will be asked to answer COVID- 19 screening questionnaire. If you answer YES to any of the questions you will not be permitted to enter the facility.
4. One community member will be allowed to enter at at time and they will be accompanied by a staff.
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First Name *
Last Name *
Email Address *
What date & time are you coming to retrieve items? *
Required
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