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Event Name
Mallala Showjumping Club - Bendigo Bank Winter Series finals
Guest Information
Guest 1 Information
Guest Name
*
Mobile Number
*
Car Rego
Type in car rego you travelled here in.
Arrival Date
--
2021-09-23
2021-09-24
2021-09-25
Departure Date
--
2021-09-23
2021-09-24
2021-09-25
Guest has downloaded the COVID safe app.
COVID-19 Self Declaration
Have you recently been in contact with someone diagnosed or suspected to have COVID-19?
*
Yes
No
Are you presenting symptoms of Fever?
*
Yes
No
Are you presenting symptoms of Cough?
*
Yes
No
Are you presenting symptoms of Shortness Of Breath?
*
Yes
No
Do you have Persistent pain in the chest?
*
Yes
No
If you have answered YES to any of these questions or above circumstances about your health change prior to the event, please do not attend the event.
*
I Agree
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Guest 2 Information
Guest Name
*
Mobile Number
*
Car Rego
Type in car rego you travelled here in.
Arrival Date
--
2021-09-23
2021-09-24
2021-09-25
Departure Date
--
2021-09-23
2021-09-24
2021-09-25
Guest has downloaded the COVID safe app.
COVID-19 Self Declaration
Have you recently been in contact with someone diagnosed or suspected to have COVID-19?
*
Yes
No
Are you presenting symptoms of Fever?
*
Yes
No
Are you presenting symptoms of Cough?
*
Yes
No
Are you presenting symptoms of Shortness Of Breath?
*
Yes
No
Do you have Persistent pain in the chest?
*
Yes
No
If you have answered YES to any of these questions or above circumstances about your health change prior to the event, please do not attend the event.
*
I Agree
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Guest 3 Information
Guest Name
*
Mobile Number
*
Car Rego
Type in car rego you travelled here in.
Arrival Date
--
2021-09-23
2021-09-24
2021-09-25
Departure Date
--
2021-09-23
2021-09-24
2021-09-25
Guest has downloaded the COVID safe app.
COVID-19 Self Declaration
Have you recently been in contact with someone diagnosed or suspected to have COVID-19?
*
Yes
No
Are you presenting symptoms of Fever?
*
Yes
No
Are you presenting symptoms of Cough?
*
Yes
No
Are you presenting symptoms of Shortness Of Breath?
*
Yes
No
Do you have Persistent pain in the chest?
*
Yes
No
If you have answered YES to any of these questions or above circumstances about your health change prior to the event, please do not attend the event.
*
I Agree
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Delete
Guest 4 Information
Guest Name
*
Mobile Number
*
Car Rego
Type in car rego you travelled here in.
Arrival Date
--
2021-09-23
2021-09-24
2021-09-25
Departure Date
--
2021-09-23
2021-09-24
2021-09-25
Guest has downloaded the COVID safe app.
COVID-19 Self Declaration
Have you recently been in contact with someone diagnosed or suspected to have COVID-19?
*
Yes
No
Are you presenting symptoms of Fever?
*
Yes
No
Are you presenting symptoms of Cough?
*
Yes
No
Are you presenting symptoms of Shortness Of Breath?
*
Yes
No
Do you have Persistent pain in the chest?
*
Yes
No
If you have answered YES to any of these questions or above circumstances about your health change prior to the event, please do not attend the event.
*
I Agree
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Guest 5 Information
Guest Name
*
Mobile Number
*
Car Rego
Type in car rego you travelled here in.
Arrival Date
--
2021-09-23
2021-09-24
2021-09-25
Departure Date
--
2021-09-23
2021-09-24
2021-09-25
Guest has downloaded the COVID safe app.
COVID-19 Self Declaration
Have you recently been in contact with someone diagnosed or suspected to have COVID-19?
*
Yes
No
Are you presenting symptoms of Fever?
*
Yes
No
Are you presenting symptoms of Cough?
*
Yes
No
Are you presenting symptoms of Shortness Of Breath?
*
Yes
No
Do you have Persistent pain in the chest?
*
Yes
No
If you have answered YES to any of these questions or above circumstances about your health change prior to the event, please do not attend the event.
*
I Agree
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Delete
Guest 6 Information
Guest Name
*
Mobile Number
*
Car Rego
Type in car rego you travelled here in.
Arrival Date
--
2021-09-23
2021-09-24
2021-09-25
Departure Date
--
2021-09-23
2021-09-24
2021-09-25
Guest has downloaded the COVID safe app.
COVID-19 Self Declaration
Have you recently been in contact with someone diagnosed or suspected to have COVID-19?
*
Yes
No
Are you presenting symptoms of Fever?
*
Yes
No
Are you presenting symptoms of Cough?
*
Yes
No
Are you presenting symptoms of Shortness Of Breath?
*
Yes
No
Do you have Persistent pain in the chest?
*
Yes
No
If you have answered YES to any of these questions or above circumstances about your health change prior to the event, please do not attend the event.
*
I Agree
Add More Guests
Delete
Guest 7 Information
Guest Name
*
Mobile Number
*
Car Rego
Type in car rego you travelled here in.
Arrival Date
--
2021-09-23
2021-09-24
2021-09-25
Departure Date
--
2021-09-23
2021-09-24
2021-09-25
Guest has downloaded the COVID safe app.
COVID-19 Self Declaration
Have you recently been in contact with someone diagnosed or suspected to have COVID-19?
*
Yes
No
Are you presenting symptoms of Fever?
*
Yes
No
Are you presenting symptoms of Cough?
*
Yes
No
Are you presenting symptoms of Shortness Of Breath?
*
Yes
No
Do you have Persistent pain in the chest?
*
Yes
No
If you have answered YES to any of these questions or above circumstances about your health change prior to the event, please do not attend the event.
*
I Agree
Add More Guests
Delete
Guest 8 Information
Guest Name
*
Mobile Number
*
Car Rego
Type in car rego you travelled here in.
Arrival Date
--
2021-09-23
2021-09-24
2021-09-25
Departure Date
--
2021-09-23
2021-09-24
2021-09-25
Guest has downloaded the COVID safe app.
COVID-19 Self Declaration
Have you recently been in contact with someone diagnosed or suspected to have COVID-19?
*
Yes
No
Are you presenting symptoms of Fever?
*
Yes
No
Are you presenting symptoms of Cough?
*
Yes
No
Are you presenting symptoms of Shortness Of Breath?
*
Yes
No
Do you have Persistent pain in the chest?
*
Yes
No
If you have answered YES to any of these questions or above circumstances about your health change prior to the event, please do not attend the event.
*
I Agree
Add More Guests
Delete
Guest 9 Information
Guest Name
*
Mobile Number
*
Car Rego
Type in car rego you travelled here in.
Arrival Date
--
2021-09-23
2021-09-24
2021-09-25
Departure Date
--
2021-09-23
2021-09-24
2021-09-25
Guest has downloaded the COVID safe app.
COVID-19 Self Declaration
Have you recently been in contact with someone diagnosed or suspected to have COVID-19?
*
Yes
No
Are you presenting symptoms of Fever?
*
Yes
No
Are you presenting symptoms of Cough?
*
Yes
No
Are you presenting symptoms of Shortness Of Breath?
*
Yes
No
Do you have Persistent pain in the chest?
*
Yes
No
If you have answered YES to any of these questions or above circumstances about your health change prior to the event, please do not attend the event.
*
I Agree
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Delete
Guest 10 Information
Guest Name
*
Mobile Number
*
Car Rego
Type in car rego you travelled here in.
Arrival Date
--
2021-09-23
2021-09-24
2021-09-25
Departure Date
--
2021-09-23
2021-09-24
2021-09-25
Guest has downloaded the COVID safe app.
COVID-19 Self Declaration
Have you recently been in contact with someone diagnosed or suspected to have COVID-19?
*
Yes
No
Are you presenting symptoms of Fever?
*
Yes
No
Are you presenting symptoms of Cough?
*
Yes
No
Are you presenting symptoms of Shortness Of Breath?
*
Yes
No
Do you have Persistent pain in the chest?
*
Yes
No
If you have answered YES to any of these questions or above circumstances about your health change prior to the event, please do not attend the event.
*
I Agree
Add More Guests
Delete
Guest 11 Information
Guest Name
*
Mobile Number
*
Car Rego
Type in car rego you travelled here in.
Arrival Date
--
2021-09-23
2021-09-24
2021-09-25
Departure Date
--
2021-09-23
2021-09-24
2021-09-25
Guest has downloaded the COVID safe app.
COVID-19 Self Declaration
Have you recently been in contact with someone diagnosed or suspected to have COVID-19?
*
Yes
No
Are you presenting symptoms of Fever?
*
Yes
No
Are you presenting symptoms of Cough?
*
Yes
No
Are you presenting symptoms of Shortness Of Breath?
*
Yes
No
Do you have Persistent pain in the chest?
*
Yes
No
If you have answered YES to any of these questions or above circumstances about your health change prior to the event, please do not attend the event.
*
I Agree
Add More Guests
Delete
Guest 12 Information
Guest Name
*
Mobile Number
*
Car Rego
Type in car rego you travelled here in.
Arrival Date
--
2021-09-23
2021-09-24
2021-09-25
Departure Date
--
2021-09-23
2021-09-24
2021-09-25
Guest has downloaded the COVID safe app.
COVID-19 Self Declaration
Have you recently been in contact with someone diagnosed or suspected to have COVID-19?
*
Yes
No
Are you presenting symptoms of Fever?
*
Yes
No
Are you presenting symptoms of Cough?
*
Yes
No
Are you presenting symptoms of Shortness Of Breath?
*
Yes
No
Do you have Persistent pain in the chest?
*
Yes
No
If you have answered YES to any of these questions or above circumstances about your health change prior to the event, please do not attend the event.
*
I Agree
Add More Guests
Delete
Guest 13 Information
Guest Name
*
Mobile Number
*
Car Rego
Type in car rego you travelled here in.
Arrival Date
--
2021-09-23
2021-09-24
2021-09-25
Departure Date
--
2021-09-23
2021-09-24
2021-09-25
Guest has downloaded the COVID safe app.
COVID-19 Self Declaration
Have you recently been in contact with someone diagnosed or suspected to have COVID-19?
*
Yes
No
Are you presenting symptoms of Fever?
*
Yes
No
Are you presenting symptoms of Cough?
*
Yes
No
Are you presenting symptoms of Shortness Of Breath?
*
Yes
No
Do you have Persistent pain in the chest?
*
Yes
No
If you have answered YES to any of these questions or above circumstances about your health change prior to the event, please do not attend the event.
*
I Agree
Add More Guests
Delete
Guest 14 Information
Guest Name
*
Mobile Number
*
Car Rego
Type in car rego you travelled here in.
Arrival Date
--
2021-09-23
2021-09-24
2021-09-25
Departure Date
--
2021-09-23
2021-09-24
2021-09-25
Guest has downloaded the COVID safe app.
COVID-19 Self Declaration
Have you recently been in contact with someone diagnosed or suspected to have COVID-19?
*
Yes
No
Are you presenting symptoms of Fever?
*
Yes
No
Are you presenting symptoms of Cough?
*
Yes
No
Are you presenting symptoms of Shortness Of Breath?
*
Yes
No
Do you have Persistent pain in the chest?
*
Yes
No
If you have answered YES to any of these questions or above circumstances about your health change prior to the event, please do not attend the event.
*
I Agree
Add More Guests
Delete
Guest 15 Information
Guest Name
*
Mobile Number
*
Car Rego
Type in car rego you travelled here in.
Arrival Date
--
2021-09-23
2021-09-24
2021-09-25
Departure Date
--
2021-09-23
2021-09-24
2021-09-25
Guest has downloaded the COVID safe app.
COVID-19 Self Declaration
Have you recently been in contact with someone diagnosed or suspected to have COVID-19?
*
Yes
No
Are you presenting symptoms of Fever?
*
Yes
No
Are you presenting symptoms of Cough?
*
Yes
No
Are you presenting symptoms of Shortness Of Breath?
*
Yes
No
Do you have Persistent pain in the chest?
*
Yes
No
If you have answered YES to any of these questions or above circumstances about your health change prior to the event, please do not attend the event.
*
I Agree
Add More Guests
Delete
Guest 16 Information
Guest Name
*
Mobile Number
*
Car Rego
Type in car rego you travelled here in.
Arrival Date
--
2021-09-23
2021-09-24
2021-09-25
Departure Date
--
2021-09-23
2021-09-24
2021-09-25
Guest has downloaded the COVID safe app.
COVID-19 Self Declaration
Have you recently been in contact with someone diagnosed or suspected to have COVID-19?
*
Yes
No
Are you presenting symptoms of Fever?
*
Yes
No
Are you presenting symptoms of Cough?
*
Yes
No
Are you presenting symptoms of Shortness Of Breath?
*
Yes
No
Do you have Persistent pain in the chest?
*
Yes
No
If you have answered YES to any of these questions or above circumstances about your health change prior to the event, please do not attend the event.
*
I Agree
Add More Guests
Delete
Guest 17 Information
Guest Name
*
Mobile Number
*
Car Rego
Type in car rego you travelled here in.
Arrival Date
--
2021-09-23
2021-09-24
2021-09-25
Departure Date
--
2021-09-23
2021-09-24
2021-09-25
Guest has downloaded the COVID safe app.
COVID-19 Self Declaration
Have you recently been in contact with someone diagnosed or suspected to have COVID-19?
*
Yes
No
Are you presenting symptoms of Fever?
*
Yes
No
Are you presenting symptoms of Cough?
*
Yes
No
Are you presenting symptoms of Shortness Of Breath?
*
Yes
No
Do you have Persistent pain in the chest?
*
Yes
No
If you have answered YES to any of these questions or above circumstances about your health change prior to the event, please do not attend the event.
*
I Agree
Add More Guests
Delete
Guest 18 Information
Guest Name
*
Mobile Number
*
Car Rego
Type in car rego you travelled here in.
Arrival Date
--
2021-09-23
2021-09-24
2021-09-25
Departure Date
--
2021-09-23
2021-09-24
2021-09-25
Guest has downloaded the COVID safe app.
COVID-19 Self Declaration
Have you recently been in contact with someone diagnosed or suspected to have COVID-19?
*
Yes
No
Are you presenting symptoms of Fever?
*
Yes
No
Are you presenting symptoms of Cough?
*
Yes
No
Are you presenting symptoms of Shortness Of Breath?
*
Yes
No
Do you have Persistent pain in the chest?
*
Yes
No
If you have answered YES to any of these questions or above circumstances about your health change prior to the event, please do not attend the event.
*
I Agree
Add More Guests
Delete
Guest 19 Information
Guest Name
*
Mobile Number
*
Car Rego
Type in car rego you travelled here in.
Arrival Date
--
2021-09-23
2021-09-24
2021-09-25
Departure Date
--
2021-09-23
2021-09-24
2021-09-25
Guest has downloaded the COVID safe app.
COVID-19 Self Declaration
Have you recently been in contact with someone diagnosed or suspected to have COVID-19?
*
Yes
No
Are you presenting symptoms of Fever?
*
Yes
No
Are you presenting symptoms of Cough?
*
Yes
No
Are you presenting symptoms of Shortness Of Breath?
*
Yes
No
Do you have Persistent pain in the chest?
*
Yes
No
If you have answered YES to any of these questions or above circumstances about your health change prior to the event, please do not attend the event.
*
I Agree
Add More Guests
Delete
Submit