Screening and Contact Tracing Information

Please use the form below to fill out our online COVID-19 screening and contract tracing form before your visit.

This form must be completed and clear to participate in Cataraqui Conservation programs or bookings.  If you or a member of your household have COVID-19 symptoms, are unwell, waiting on test results, or have tested positive for COVID-19 please stay at home. You will not be permitted to attend Cataraqui Conservation programs/bookings if you have any of the symptoms or contacts outlined below, unless explained (seasonal allergies etc.). You must have a clear COVID test and be 24 hours symptom free to attend programs.

If you are coming as a group from the same household, one form can be completed for the household.

All information is kept completely confidential and contact info will only be used by Public Health for contact tracing if needed. Information will be kept for 30 day and in compliance with privacy legislation. Please fill out the information as honestly and accurately as possible, screening is here to protect you, our staff, and other participant’s. Thank you.

COVID Screening Tool
Are you completing this screening for others in your household? *
Do you have any of the following symptoms? *
Does anyone in your immediate household have any of the above symptoms?
Exposure History (check all that apply): *

If you have checked any boxes other than "none of the above", or have checked "yes",  do not come to the program/event or enter any Conservation Area. Go home, self-isolate and follow all public health guidelines.

Accuracy of Information *
Collection of Information *