Visitor Appointment Form - Osgoode Township Museum

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PLEASE NOTE LIMIT OF 6 PEOPLE PER TIMESLOT: 10AM, 11:30AM, 1PM, 2:30PM

7814 Lawrence Street, Vernon, ON K0A 3J0
Contact us at (613)821-4062 or manager@osgoodemuseum.ca

Please provide your name, phone number/email and mailing address (solely for COVID-19 contact tracing purposes only): *

Date and time of visit:

Is this your first time visiting the Museum? *

Yes

Have you experienced any of the following symptoms: fever, dry cough, tiredness, sore throat, aches and pains, headache, diarrhea, difficulty breathing. *

Yes

Have you been out of Province in the last two weeks? *

Yes

Have you travelled outside of Canada in past two weeks? *

Yes

Please note that you are required to wear a mask while visiting the Museum. Non-medical masks will be provided. *

I acknowledge that I am required to wear a mask while visiting the Museum.

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