INDOOR PLAY AREA ENTRY FORM

If any of the below apply to you, please DO NOT enter the play area for the health and safety of others.

First Name

Last Name

Email Address

Contact Number

Street Address

In the last 14 days I have NOT travelled from overseas or a COVID-19 hotspot

 

In the last 14 days I have NOT been in close contact with a person who is positive for COVID-19

 

I am NOT an active COVID-19 case

 

I am not currently, or have not recently experienced cough, fever, sore throat, fatigue or shortness of breath