Memorial Park Event Attendance Form
A list of individuals registered to attend the public forum at Memorial Park with Colorado Attorney General Phil Weiser and San Juan County Commissioner Pete McKay.

Event organizers request your contact information as part of the COVID-19 Safety Plan for holding outdoor events under social distancing requirements.

The contact information submitted on this form will be provided to the San Juan County Office of Emergency Management only in the event that a participant was exposed to COVID-19. Your contact information will not be used for any other purposes.

Prior to the event, please review the symptom screening form located here:

If you exhibit any of the symptoms listed, please do not attend the in person event. The event will stream live and will be recorded on the Colorado Attorney General’s Facebook page (@ColoradoAttorneyGeneral).
Name *
Email *
Address *
Phone number
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