COVID19 Questionaire

Full Name(Required)

E-Mail Address(Required)

Phone Number

Do you have any of the following Symptoms?

Fever
Cough
Shortness of Breath
Sore Throat or painful swallowing
Runny nose, stuffy nose or nasal congestion
Feeling unwell / fatigues
Gastrointestinal symptoms (nausea, vomiting, diarrhea or unexplained loss of appetite)
Headache or chills
Unexplained loss of sense of smell or taste
Unexplained muscle or joint aches
Conjunctivitis, commonly known as pink eye

I confirm that I do not have any of the above symptoms, and have not travelled outside of Canada in the last 14 days.

I have not had close contact with a confirmed case of COVID-19 where appropriate safety measures have not been followed.

I have not had close contact with a person with acute respirator ilness who has travelled anywhere outside of Canada within 14 days prior to illness onset.

I would like to receive news, updates and promotions from The Louvre. You may unsubscribe at any time. The Louvre is a ProCura project and permission will be granted to its sales & marketing team ( and thier associated companies )

© 2022 Louvre @ Century Park
11025 26 Ave NW | Edmonton, Alberta T6J 5V3

Guest Card

Guest Card

Guest Card

© 2022 Louvre @ Century Park11025 26 Ave NW | Edmonton, Alberta T6J 5V3

Guest Card

© 2022 Louvre @ Century Park
11025 26 Ave NW | Edmonton, Alberta T6J 5V3