JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
WMH Contact Tracing Form
Based on recommendations from AHS and in the case of positive COVID-19 case at one of our events, we are keeping a record of all attendees to contact in that case.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Have you assessed yourself, your guests & players using the Alberta Health Checklist and has confirmed you are clear to attend WMH event?
*
Yes
Required
Please provide us with your and your guests contact information who are entering this facility for the purpose of WMH Practice or Game. Full Name, email address and Phone #
*
Your answer
Date of entry into Scott Safety Centre
*
MM
/
DD
Send me a copy of my responses.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
