COVID-19 Safe Check In
In line with the requirements by NSW Health, to protect the health and safety of the community and ensure that the business comply with COViD-safe regulations, please kindly answer below question before attending our venues. Thank you!
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Email *
1. What is your full name? *
2. What is the date of the class/event? *
MM
/
DD
/
YYYY
3. Name of the staff member/facilitator/teacher/speaker you are meeting? *
4. Do you have any of these symptoms: Fever, cough, shortness of breath, chills, body aches, sore or scratchy throat, headache, runny nose, muscle pain, vomiting, nausea, diarrhoea, or loss of smell or taste? *
5. Have you been in contact with a COVID-19 case in the last 14 days or if they have been asked to self-isolate by a health official? *
6.  Do you have a household member who is a close contact of a COVID-19 case? *
7. Have you been to any of the Close Contact locations or travelled on nominated public transport routes, during the time and date indicated, in the Close contacts? *
8. Have you been to any of the Casual Contact locations or travelled on nominated public transport routes, during the time and date indicated, in the Casual contacts? *
9. Have you been to any COVID-19 hotspots/area of concern locally or interstate/overseas within the last 14 days? *
10. Are you currently waiting for a COVID test result? *
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