RDN: 18 and Over Covid-19 Checklist
Participant's Name *
Contact Phone Number *
Contact Email *
Does the person attending the activity have any of the following symptoms? *
Has the attendee travelled outside of Canada in the last 14 days? (Individuals are legally required to quarantine for 14 days when entering or returning to Alberta from outside Canada unless exempted by the Alberta COVID-19 Border Testing Pilot Program) *
Has the attendee had close contact1 with a confirmed case of COVID-19 in the last 14 days? *
If you answer yes to any of the questions above, please stay home and use the AHS online assessment tool to determine if testing for Covid-19 in necessary. This form will be kept on file for a minimum of two weeks.
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