RONDEBOSCH SPORTS CLUB - COVID 19 Screening
This Screening Questionnaire enables the Rondebosch Oval to be updated with the health of each visitor entering the premises. The information herein is classified Confidential and will only be shared with the HOTLINE if permission is granted by the respective member.
Sign in to Google to save your progress. Learn more
I agree that the details recorded may be used to inform the client and COVID-19 Hotline if I show symptoms of infection. *
Contact details *
Name and Surname
Cell number
What is your age? *
Reason for visiting? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy