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COVID 19 Health Declaration Guests
Date of arrival
Number of nights stay or date of visit/showthrough
In the box below please insert the name booking has been made in and name of property.
Please state in the box below if you are a guest, a supplier or a member of venue staff or visiting for a showthrough.
In the box below please insert full names of accompanying guests, staff or suppliers. Please State ages of 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, nor any person listed on this submission form, has any symptoms of COVID-19. I understand that persons with Covid 19 symptoms must not attend this venue. 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 and Guests accommodation) 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 or Victoria or any hotspots within 14 days prior venue visit. I also agree to ensure that I and those accompanying me adhere to social distancing and current Covid 19 regulations. Failure to do so may result in being asked to leave the premises.
Social distancing and Covid regulations - please read.
Full legal name
Date
Submit
Thanks for submitting!
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