SLE Church - Contact Tracing Check In
This form must be completed by EVERYONE upon arrival at the building. It will take you 2 minutes to complete and will greatly help us with contract tracing should any incident happen.

By filling out this form you acknowledge that:
· You have read and you agree to the current "Policy for Use of Building in Stage 3"

POLICY: https://docs.google.com/document/d/1e3Mg7gjk3vwQwyAJ8xcT3aethbz43UFqXbca7BzyHCs/edit?usp=sharing

· You do not have any symptoms associated with COVID-19 (e.g. fever, cough, sore throat, shortness of breath, or loss of sense of taste or smell)
· You do not have COVID-19 nor are you awaiting the results from being tested for COVID-19
· You have not been in contact with any known or suspected cases of COVID-19 in the past 14 days
· You have not returned, or been in contact with anyone else who has returned, from overseas or a hotspot in Australia, in the past 14 days
First Name *
Last Name *
Date and time of entry *
MM
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DD
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Time
:
Expected length of stay *
We encourage you to be as accurate as possible. If you are in the building for longer than initially reported, please use the "Edit your response" link which will be displayed upon submission of this form, to provide accurate updates.
How many children (under 16 years old) did you bring with you today? *
If you did not come with any children today, please answer "0".
Which group are you part of today? *
Does SLE Church have your most recent contact details? *
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