Skip to content
Sign in
Sign in
About
Resources
Network
Certifications
Islamophobia
Differentiating Islamophobia, Why the confusion?
Experiencing Islamophoboia?
Report an Incident
Get Involved
Learning Hub
Safe Ramadan Practices - Contact Tracing form
RM_Stats
First Name
*
Last Name
*
Age
Email
*
Mobile / Phone Number
*
Date of visit
*
Time of visit
I've read the
Terms & conditions
.
I Agree
*
I hereby authorize the CMCO to collect and process the data indicated herein for the purpose of contact tracing effecting control of the COVID-19 transmission. I understand that my personal information is protected by RA 10173 (Data Privacy Act of 2012) and that I am required by RA 11469 (Bayanihan to Heal as One Act) to provide truthful information. I also understand that this form will be destroyed after 30 days of the date of accomplishment following the National Archives of the Canada protocol.
Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. JavaScript settings are usually found in Browser Settings or Browser Developer menu.
MENU
MENU
About
.
Our History
Our Values
Guiding Principles
Truth and Reconciliation
Resources
Network
.
CMCO Operations Committee
CMCO Advisory Committee
CMCO Sub Committee
Anti-Islamophobia
Differentiating Islamophobia, Why the confusion?
Experiencing Islamophoboia?
Report an Incident
Certifications
.
Executive Islamic Leadership
Get Involved
Become a Chaplain
Volunteer
Internships
COVID-19 Contact Tracing
Content
CMCO