Club Marcella of Buffalo
Live Entertainment Venue
New York State Required Contract Tracing Form
The following information is REQUIRED by New York State and the NYS Dept of Health. Please complete all requested information before pressing SUBMIT.
PLEASE NOTE: THIS INFORMATION WILL NOT BE SHARED WITH ANYONE UNLESS CLUB MARCELLA RECEIVES A CONTACT TRACING REQUEST FROM THE HEALTH DEPARTMENT. OTHER THAN CONTACT TRACING, YOUR PRIVATE INFORMATION WILL NOT BE SHARED, DISCLOSED, OR SOLD TO ANYONE.
AS REQUIRED BY NYS, THIS INFORMATION MUST BE KEPT FOR A MINIMUM OF 28 DAYS.