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HomeExplore and PlayRecreation and LeisureFacility Check-In Form

Lakeshore Recreation

Facility Check-in Form

Location
Organization
Have you or anyone near you travelled outside of Canada in the last 14 days? (Except if traveling outside of Canada for work)
Muscle aches, fatigue, headache, sore throat, runny nose or diarrhea?
, someone in your household or workplace)?
Are you in close contact with a person who is sick with respiratory symptoms (for example, fever, cough or difficulty breathing) who recently travelled outside of Canada?

Release - The undersigned agrees to the waiver and that, in using the Atlas Tube Centre he/she does so entirely at their own risk and hereby releases Lakeshore, its staff and suppliers from any and all claims.

  • That this information you provided is accurate and truthful.
  • That this data can be shared with the local health unit
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Municipal Services

Monday to Friday: 8:30 AM to 4:30 PM

419 Notre Dame St.

Belle River, ON N0R 1A0

Phone: 519-728-2700

Toll Free: 1-877-249-3367

Fax: 519-728-9530

info@lakeshore.ca

Atlas Tube Centre

Monday to Friday: 6:00 AM to 9:30 PM

Saturday and Sunday: 6:00 AM to 8:30 PM

447 Renaud Line

Lakeshore, ON N0R 1K0

Phone: 519-727-0470

recinfo@lakeshore.ca

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