Guest Screening Form

Guest Screening Form

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    Have you travelled outside of Canada, or been in close contact with anyone that has travelled outside of Canada in the past 14 days?* YesNo
    Are you coming to our hotel to self-isolate or self-quarantine?* YesNo
    Have you had close contact with anyone with a confirmed or probable case of COVID-19 in the past 14 days?* YesNo
    Do you have a fever?* YesNo
    Do you have a cough OR shortness of breath?* YesNo
    Have you experienced any of the following symptoms in the last 14 days?* SneezingChillsMuscle PainSore ThroatHeadacheNew Loss of Taste or SmellVomitingRepeated Shaking With ChillsI have experienced no symptoms

    You acknowledge the contagious nature of the Coronavirus/COVID-19 and that Health Canada recommends practicing social distancing.

    While we are taking all precautions and measures as laid out by the latest health guidelines, You acknowledge that we cannot guarantee that you will not become infected with COVID-19. You are staying at your own risk and waive any and all liabilities against the hotel and any and all parent and/or holding companies should you contract COVID-19 during Your stay.

    Your signature:*

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