COVID Declaration Pre-Checkin COVID Declaration Pre-Checkin Form Please take a moment to complete this form Please list the names and mobile numbers of all adult guests staying at the resort: Adult Guest 1 Name (required) Adult Guest 1 Mobile (required) Contact Email (required) Adult Guest 2 Name Adult Guest 2 Mobile Adult Guest 3 Name Adult Guest 3 Mobile Adult Guest 4 Name Adult Guest 4 Mobile Please list the names and ages of all children staying at the resort: Child Guest 1 Name Child Guest 1 Age Child Guest 2 Name Child Guest 2 Age Child Guest 3 Name Child Guest 3 Age Child Guest 4 Name Child Guest 4 Age I declare that: - I/We are not required to be in self-isolation or self-quarantine - I/We have not previously been diagnosed with Covid 19 - I/We have not been in close contact with a person who has a reported or suspected case of Covid 19 in the past 14 days - I/We have not been or reside in a Covid 19 hotspot as identified by the Chief Health Officer in the past 14 days - I/We have not shown symptoms of Covid 19 being cough, sore throat, fever, shortness of breath or have any other cold/flu-like symptoms in the last 72 hours. If any of the above questions apply to you or those travelling with you, please provide further details in a reply email so management can make a determination on whether it is practical for you to stay at the resort. Management require that any persons visiting you or your guests during your stay register with Reception. In the event Reception is closed those visitors must text 0413 180198 identifying their name, contact number and the names of the persons visiting. The information requested in this declaration is for the purpose of contact tracing and should it be required will be shared with Health Officials or NSW Police if requested. I/We agree to comply with Resort rules and Government directives associated to social distancing and good hygiene practices during our stay at the resort. Declaration (required) ---I declare ALL statements above are true and correct for myself and ALL guests staying at the resort.