= Required
Registration
1. Have anyone in your household traveled outside Canada in the last 14 days?

2. Have anyone in your household had close contact with a case1 of COVID-19 in the last 14 days?

Cell Phone Number:

Email:

Age Group:       

First Name:
Last Name:
Initials (optional):

Notes:
1 A lab-confirmed case OR a probable case as defined in the Alberta COVID-19 Notifiable Disease Guideline




2021-07-31 09:07 YES
2021-07-25 13:00 to 2021-08-01 11:00

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