Tōku Marae Covid-19 Contact Tracing

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Tōku Marae Covid-19 Contact Tracing

Kia ora! Welcome to Tōku Marae. Please complete this form to help keep whānau safe from the spread of the Corona Virus. This form will securely note any contact that you have with other visitors at Tōku Marae, and allow us to contact you if you have been in close contact with someone that has tested positive to the virus.

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Email Address

Your answer

Full Name

Your answer

Home Address

Your answer

Contact Number

Your answer

Have you travelled in the last month?

Yes

No

Clear selection

Have you come in contact with anyone who has travelled internationally in the last month?

Yes

No

Clear selection

Submit

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