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Rowany Fighter Practice Contact Tracing
Addison Rd Community Centre, Marrickville
Please complete this form for each person attending.
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Mundane name
*
Your answer
Are you a Member?
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Member
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Membership number?
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Phone number
*
Your answer
Email address
*
Your answer
I am not experiencing any cold or flu-like symptoms and I have not been in close contact with anyone who is COVID positive in the last 16 days
*
Yes
I agree to abide by the Barony of Rowany's COVID Safe Plan, as well as the COVID-19 Response formulated by SCA Ltd
*
Yes
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