Health Declaration

Please complete the following health declaration form.  

 

Completion of this information is to help keep our staff and other workers safe while conducting activities at your upcoming event.  This screening is to help reduce the risk to yourself, our staff and the wider community.

Submissions are valid up to 24 hours prior to the activity. 

Are you experiencing any flu symptoms?

Thanks for submitting!

COVID-19 Screening

Do you currently have any of the known symptoms of COVID-19: a fever, chills, night sweats; cough, shortness of breath or cold; fatigue, loss of taste or smell or any other physical illness? *

To the best of your knowledge, have you been in close contact with someone who has tested positive for COVID-19 in the past 14 days? *