Health Declaration Form
Please complete this form. You will not be allowed into the venue if you fail to complete this form or disagree with the matters set out in this form.
Sign in to Google to save your progress. Learn more
You Name *
Your Phone Number *
I confirm and agree that the below information is true and accurate

Declaration

 I hereby declare and confirm that:  

1.   I do not have and have not had in the past 7 days any of the following symptoms - fever, malaise, dry cough, shortness of breath or other flu-like symptoms.

2.   I am not subject to compulsory quarantine.

3.   I have not been in close contact with any person who is a confirmed or preliminary positive case of COVID-19 infection in Hong Kong or overseas in the past 7 days.

*
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy