Keep Jasper Safe Pledge

2. 

4. Keep Jasper Safe Pledge
   "I pledge to do my part to keep Jasper residents and visitors safe by wearing a mask in the downtown business district and in public spaces where I am unable to maintain physical distancing."

   "I pledge to do my part to keep Jasper residents and visitors safe by wearing a mask in the downtown business district and in public spaces where I am unable to maintain physical distancing."

6. First and last name*

8. Email address*

10. About you*

    1. I am a Jasper resident
    2. I am a Jasper visitor

12. FOIP Statement
    This personal information is being collected by the Municipality of Jasper for the purpose of keeping track of how many Jasper residents and visitors "took the pledge". It is protected by the privacy provisions of the Freedom of Information and Protection of Privacy Act and will not be used for any other purpose.

    This personal information is being collected by the Municipality of Jasper for the purpose of keeping track of how many Jasper residents and visitors "took the pledge". It is protected by the privacy provisions of the Freedom of Information and Protection of Privacy Act and will not be used for any other purpose.

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14. 1. Receive an email copy of this form.
15. Email address

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16. Submit

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