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* 1. Are you a resident of Colchester County?

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* 2. Members in Your Household

  1 person 2 people 3 people 4 people 5 people
Female
Male

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* 3. Age of Members in Your Household

  1 - 5 years
old
6 - 10 years old 11 - 15 years old 16 - 20 years old 21 - 30 years old 31 - 45 years old 46 - 65 years old over 65 years old
Males
Females

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* 4. Scotia Pool Closed on March 17, 2020 Due to Covid-19 Restrictions.

Immediately, prior to closing were you, or other household members participating in any of the following programs (check all that apply).

For example, Senior Lane Swimming was held from 7:00 to 9:30 Monday through Friday.  If you typically swam on one or more days during the week at that time, please check the box.  Notice that Lane Swimming occurred at different time during the day, as did Aqua Fit and Red Cross Swimming Lessons.  

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* 5. Scotia Pool is planning to open to our patrons on Monday, November 1, 2020.

Do you anticipate that you, and/or other members of your household will make use of the facilities beginning the week of November 1st?

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* 6. If yes, please indicate the number of members of your household that will be using our facility.

  1 person 2 people 3 people 4 people 5 people
Number of Persons

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* 7. What programs do you, or members of your household, wish to participate in? (Check all that apply)

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* 8. If you have any comments, questions or suggestions about Scotia Pool or the various programs that will be offered after our reopening, please enter them below

T