Basecamp Health Attestation: New COVID Prevention Measures
Basecamp Climbing Inc. (“Basecamp”) has implemented this questionnaire for health and safety purposes in order to help prevent the spread of COVID-19. All visitors, members, suppliers and contractors must complete and submit this form to Basecamp within the 6 hours prior to visiting Basecamp’s facilities.
If your responses to any of the below questions change between the time that you submit this form and any future visits to Basecamp, you agree to contact Basecamp and cancel your visit.
The information in this questionnaire is being collected solely to determine whether an individual may access Basecamp’s premises and to keep an accurate record of persons on site. This information will not be used for any other purpose.
*Close contact means: (1) living with; (2) providing care to; (3) having close prolonged contact with (i.e. within 2 metres) a person when they were ill; or (4) having contact with the person's infectious bodily fluids while not wearing personal protective equipment.
If the answer is "yes" to any of the 5 questions above, Basecamp may deny you access to the premises.