Personal information is collected under the authority of the Reopening Ontario (A Flexible Response to COVID-19) Act, 2020, Ontario Regulation 364/20.
The information will be used to screen for COVID-19 risk factors prior to entering a County of Peterborough facility or participating in a hockey program.
In the event of a confirmed COVID-19 diagnosis that coincides with your visit, by completing and submitting this form, you consent to the Lakefield Minor Hockey COVID-19 Coordinator sharing your name and contact information with Peterborough Public Health, for purposes of contact tracing to reduce the spread of COVID-19.