COVID-19 Sign-in Form

COVID-19
Sign-in form

Your details are collected and kept secure in accordance with our privacy policy (described here) and the QLD government's COVID-19 contact tracing and records keeping guidelines (described here).

Name*
First Last
Email*
Phone*
Address*
CAPTCHA
Confirmation*
By checking this box, you declare that this form is true and correct.
I declare that I have not come into contact with anyone who has COVID-19 or have travelled overseas or interstate from an affected area, or been in contact with anyone who has returned from overseas or interstate from an affected area.

I declare that I will abide by the social distancing requirements of 1.5m separation & 4m2 per person in a closed environment.

COVID-19
Sign-in form