COVID-19 Visitor Registration

As a safety precaution all visitors to any Smarter Communities offices are required to complete this registration form. We do this to be able to notify you if we become aware that anyone onsite during your visit receives a positive COVID-19 result. Thank you in advance for your cooperation.

Full Name *

Mobile *

Email *

Location *

Please state your main purpose for this visit *

Are you meeting anyone on premises? If so, please provide their name(s)

How long do you intend to stay on premises? *

Less than 1 hour

1 to 2 hours

2 to 4 hours

More than 4 hours