Community Event Fall Fair - Oct 30th 2021
Please fill out the form individually for EACH PERSON attending the event!
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First Name *
Last Name *
E-mail *
Phone Number *
Birthday *
Are you currently experiencing any of these symptoms? *
Is anyone you live with currently experiencing any new COVID-19 symptoms (listed above) and/or waiting for test results after experiencing symptoms? *
In the last 14 days, have you travelled outside of Canada and been told to quarantine (per the federal quarantine requirements)? *
In the last 10 days, have you been identified as a “close contact” of someone who currently has COVID-19? *
Has a doctor, health care provider, or public health unit told you that you should currently be isolating (staying at home)? *
In the last 10 days, have you tested positive on a rapid antigen test or home-based self-testing kit? *
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