Visitor Register
During this COVID19 global pandemic, we need to ensure the health of all workers, young women and children, and visitors/contractors to Zig Zag Young Women’s Resource Centre, so we kindly ask:

• For you to use the hand sanitiser provided upon entry to our service,
• Maintain a 1.5 metres separation between you and other people,
• And if you, or anyone in your household, have any cold or flu-like symptoms, returned from an Australian COVID19 hot spot or high risk countries or had close contact with anyone who has tested positive to COVID19 in the past 14 days, that you contact us to either reschedule your visit to Zig Zag or arrange for a counselling and support session to be held by telephone or videoconferencing.

For hot spot information refer here : https://www.health.gov.au/news/health-alerts/novel-coronavirus-2019-ncov-health-alert
Location *
Name (First & Last) *
Phone Number *
Address *
Have you or anyone in your household had any cold of flu-like symptoms in the past 14 days *
Have you or anyone in your household returned from a COVID-19 hot spots or high risk countries in the past 14 days * *
Have you or anyone in your household had any close contact with anyone who has tested positive for COVID19 in the past 14 days?
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