Full Name :
Drive-In Majalis - Gents outdoor seating
 
Markham Fairgrounds.

GENTS ONLY : If you wish to sit in the front compound 
then please fill out the required information.
Phone Number : 
Are you or anyone you live with currently experiencing any of the COIVD-19 related symptoms? *

In the last 14 days, have you or anyone you live with traveled outside of Canada and been told to quarantine (per the federal quarantine requirements)? *

​In the last 14 days, have you or anyone you live with been identified as a “close contact” of someone who currently has COVID-19? *
Have you taken the COVID-19 vaccination? *
YES
NO
YES
NO
YES
NO
YES
NO