Park Festival - Féile Picnic N Proms - Saturday 28th of August 2021- Covid-19 Pre-Screening eForm

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Please complete this form for yourself and anyone in your family / pod / group who will be attending the Park Festival - Féile events for Saturday 28th of august 2021 within the environs of Pearse Park, Denny Street, Tralee, Co.Kerry. You must complete BEFORE arriving at the pre-screening area.

GDPR - Processing Customer Data for COVID-19 Contact Tracing - The current public health requirement is for a retention period of one month. All your information is digitally stored and will be electronically wiped after 30 days.

Email *

Your Name and names of individuals in your Party/Family/Pod *

Contact number *

Address / Eircode

Do you or anyone in your party have symptoms of cough, fever/high temperature (38° C or above), difficulty breathing, loss or change in your sense of smell or taste now or in the past 14 days? *

Yes

Have you or anyone in your party been diagnosed with confirmed or suspected COVID-19 infection in the past 14 days? *

Yes

Are you or anyone in your party awaiting the results of a COVID-19 test? *

Yes

In the past 14 days, have you or anyone in your party been in contact with a person who is a confirmed or suspected case of COVID-19? Click hse.ie/coronavirus for up to date information on ‘close contact’ and ‘casual contact’. *

Yes

Have you or anyone in your party been advised to self-isolate at this time? *

Yes

Have you o anyone in your party been advised to restrict your movements at this time? *

Yes

Have you or anyone in your party been advised to cocoon at this time? *

Yes

I confirm by dating this that all information provided by me is correct to the best of my knowledge and confirm that I will advise should there be any changes in these circumstances. (Month, Day, Year) *

YYYY

Send me a copy of my responses.

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