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WMC Contact Tracing Form
The government need to know the who, where and when for every WMC activity
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* Indicates required question
Date
*
What day did this run/walk happen?
MM
/
DD
Group
*
Run 1 is the fastest, Run 3 is the slowest. Similarly Walk 1 is fastest. If only two running groups then they are Run 1 and Run 2
Run 1
Run 2
Run 3
Walk 1
Walk 2
Walk 3
Other:
Names of those in the group who are WMC members
*
First and last name. One per line. A line may be "Jane Doe". Put yourself in first!
Your answer
Contact details of those in the group who are NOT WMC members
*
Either "None" or lines of Name, email-address, phone with one person per line. A line may be "Joe Bloggs,
jbloggs@xtra.co.nz
,02345678"
Your answer
Comment
Anything else you wish to add
Your answer
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