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COVID 19 Health Declaration Wedding Attendance
Wedding Date
First names of Marrying Couple
In the box below please insert full legal name of person making this declaration .
Please state in the box below if you are the marrying couple, a wedding guest, a house guest on our property, a supplier or a member of venue staff or other. If house guest please state whether Woodcutter's Shed or Kookaburra Hideaway
In the box below please insert full names of accompanying guests, staff or suppliers from same household only. (Same household means only people acutally living in the same house together)Otherwise a separate form must be submited for other households. State ages of persons including babies and infants under 16 years.
Email address of declarer
Mobile phone number of declarer
I, the above mentioned declarer, hereby state that neither I, or any person listed on this submission form, has any symptoms of COVID-19. I understand that persons with Covid 19 symptoms must not attend the property or this wedding. I also declare that I have contact details for all persons listed on this declaration and will be able to provide those to the Venue if necessary and that I will inform Kookaburra Hideaway (The Wedding Venue) of any Covid 19 related changes to the health of persons listed, prior to, during, or up to 14 days from wedding date, via email to leisurehq@gmail.com. I also state that none of the persons on this form have arrived from overseas, Victoria or any other Covid hotspots or forbidden areas within 14 days prior to the wedding date. I also agree to ensure that I and those accompanying me adhere to social distancing and current Covid 19 regulations.
Social distancing and Covid regulations - please read.
Full legal name
Date
Address
Submit
Thanks for submitting!
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