Arrival at the RCMP Heritage Centre Arrival at the RCMP Heritage CentrePlease note it is required to fill out this form for each visitor to the RCMP Heritage Centre. Personal InformationName First Last City / Province City State / Province / Region PhoneEmail Note: your email will not be used for marketing or promotional purposes. COVID-19 QuestionaireDo you have any of the following: fever, cough, shortness of breath, sore throat, chills, headache, runny nose, conjunctivitis, nasal congestion, muscle or joint aches and pains, loss of sense of smell or taste, dizziness, nausea, vomiting, diarrhea, loss of appetite, fatigue Yes No Were you exposed to someone who is under investigation for COVID-19 or has been confirmed as having COVID-19 within the last 14 days? Yes No In the last 14 days, have you returned from international travel? Yes No Heritage Centre PolicyI acknowledge at all times in the facility: I must wear a mask Physical distancing is required
