COVID 19 Group/Individual Rental Screening and Waiver Form
Preserving the health and wellness of our residents and visitors is the Municipality of Dutton Dunwich priority. To prevent the spread of COVID-19, and to reduce the potential risk, we are conducting a simple screening questionnaire that we are asking you to complete and submit prior to entering any municipal facility.
This checklist is meant to keep everyone health. It is only a basic checklist and not meant to take the place of medical advice, diagnosis or treatment.
NOTE: If you answered yes to any of these questions DO NOT enter this facility. Thank you!