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COVID-19 Safety Plan

This document is designed to provide some guidance in designing your plan for how users in your group will be kept safe during the COVID-19 pandemic. It is the responsibility of the holder of the facility rental contract to comply with all rules with respect to the use of a facility set out by the Province of Ontario relating to COVID-19.

I recognize that the Facility as a maximum capacity of 50 users (indoor)/100 users (outdoor) including instructors at one time per the Regulation of the Province of Ontario. I agree to and acknowledge the additional COVID-19 Conditions of Use and my responsibility as the contract holder to share and abide by those conditions.

Refer to the Grey Bruce Public Health Unit COVID-19 resources
Refer to the Township’s Conditions of Use Form and Screening Form
Discuss and share relevant details of your plan with the Township so that staff are aware of what to expect from your groups. A copy of this plan must be provided to the Township no later than 24 hours prior to your rental. Plans can be emailed to Zach Carson (Facilities Coordinator) at zcarson@georgianbluffs.ca.
The COVID-19 pandemic is ever-evolving. This plan could require review and changes.

The following plan is intended to assist renters to develop a COVID-19 Safety Plan with respect to the use of Township Facilities. The person responsible for the safety plan may reference any relevant safety or return to play manuals. Please attach the safety plans when submitting this form.

Disclaimer: This is considered a minimum safety standard and the Township of Georgian Bluffs does not guarantee the safety of all participants and will not be held liable if injury or illness occurs.

Name of Renter (Organization/Person):

Type of Group:

Address:

Telephone:

E-mail:

Plan Prepared By:

Position Title:

Date:

Physical Distancing: what will be done to ensure physical distancing guidelines are maintained? (Examples include communication strategies, splitting up in groups, maximizing floor space.)

Hygiene: how will you ensure hygiene standards are maintained? (Examples include hand washing standards and practices, hand sanitizer locations, etc.)

Training and Education: how will you ensure all your participants and/or employees know how to keep themselves and others safe from exposure to COVID-19? (Examples include training, distribution of educational materials, etc.)

Response Planning: how will you respond to an exposure or suspected exposure to COVID-19 within your group? (Examples include tracking/screening participants, contacting Public Health, etc.)

Failure to follow the rules and conditions of use will result in immediate removal of a participant from a facility and result in the cancellation of the facility rental contract between the user and the Township. Refunds will not be provided to the contract holder.

Signature:

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