Health Declaration Form

To prevent the spread of COVID-19 Virus in our community and to reduce the risk of exposure to other staff and workforce, we are requesting all members complete this health declaration form.  Your Participation is important to help us take precautionary measures to protect you and all others in our premises.  Thank you for your time.

Health Declaration Form

    5. If you have selected YES to any of the questions above you are not permitted to enter the premises. I agree (Please Check)*

    I hereby declare all the above information provided above are accurate and I am aware any false declarations may result in prosecution under the Infectious Diseases Act. I agree (Please Check)*

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