Register for Zine Workshop with Luke Maddaford

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To celebrate the Pride Festival this year, the Art Gallery of Windsor is partnering with the Windsor-Essex Pride Festival and artist Luke Maddaford to present a Zine making workshop.

To participate:
1) Sunday, September 12th, 2021, 2:00pm-3:30pm in the 2nd Floor Studio.
2) This program is FREE with admission to the AGW.
3) Participants MUST pre-register and complete a short screening survey online in order to attend the program. Sign in forms will be available in person at the gallery.
4) Masks must be worn at all times in the studio and safety guidelines must be followed.

Email *

Your Full Name: *

Names of folks attending from your household: *

Your Phone Number: *

1. Do you or does anyone in your household have any of the following symptoms, either new or worsened: *fever, chills, cough or worsening chronic cough, loss of sense of smell or taste, difficulty breathing, sore throat, loss of appetite, extreme fatigue or tiredness, headache, body aches, nausea or vomiting, diarrhea? *

Yes

Have you come into close contact with someone who has tested positive for COVID-19 or who has been ordered to self-isolate in the past 14 days? *

Yes

Have you or has anyone in your household returned from travel outside of Canada (including USA) in the past 14 days? *

Yes

If you answered “yes” to any of these questions, or if someone in your household is experiencing any of the symptoms listed below after completing the questionnaire, please alert or contact the AGW Visitor and Membership Services team (519) 977-0013 x 117.

Please confirm each of the following: *

I certify that I answered the questionnaire truthfully and to the best of my knowledge.

I acknowledge that the AGW follows the appropriate protocols to promote safety and health in their Facilities during the COVID-19 pandemic.

I will comply with the AGW's safety measures and protocols.

I certify that I am aware of the continually updating information provided by the Windsor Essex Health Unit on how to protect myself, my family, and my community and what to do if I suspect that I have COVID-19.

Required

Signature (Please type name)

Date

YYYY

Time

A copy of your responses will be emailed to the address you provided.

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