Health Screening

Please complete the following questions before arriving at Lakeridge Resort.

First Name:*

Last Name:*

Email:*

Mobile Phone #:*

Contact Name (if under 18):

Visitor Type:*

In the last 14 days, have you travelled outside of Canada AND been advised to quarantine as per the federal quarantine requirements?*NoYes

Has a doctor, health care provider, or public health unit told you that you should currently be isolating (staying at home)?*NoYes

Do you have any of the following symptoms that are new or worsening?

*NoYes

Remember Me

Date: