Covid-19 Contact Tracing & Health Screening Form

  • Covid-19 Contact Tracing & Health Screening Form

    You must complete this form as soon as you arrive at the pool
  • This form is to be completed when you arrive at the pool and not prior to attending. This is because we need an accurate record for contact tracing purposes

  • STOP.... do not complete the form if you're not at the pool right now.

    You must only complete the form when you arrive at the pool. This is because we need an accurate record for contact tracing purposes.

  • Pool Location*

  • Covid-19 Contact Tracing Information

  • Type of attendee*
  • Date
     / /
  • Number of participants you have booked into a swimming lesson at CrocStars today?
  • Have you, the participant and/or attendees been overseas in the last 14 days?*
  • Have you, the participant and/or attendees travelled to or returned from Northern Beaches or a known NSW COVID-19 hotspot in the past 14 days?*
  • Have you, the participant and/or attendees been to any of the impacted venues above?*
  • Have you, the participant and/or attendees been in contact with a person who has been diagnosed with COVID-19?*
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  • Do you, the participant and/or attendees have any of the Covid-19 symptoms?*

  • YOU MUST NOT ATTEND A SESSION AT CROCSTARS - this is because you answered yes to one or more of the Covid-19 questions.

    Please proceed to a Covid-19 Clinic for testing.

    https://www.nsw.gov.au/covid-19/how-to-protect-yourself-and-others/clinics

  • How many people are attending the pool today? (including you, the participant(s) and any additional attendees such as siblings, support workers etc)*

  • Please take the temperature of yourself, the participant and any additional attendees

  • Attendee 1*
  • Attendee 2*
  • Attendee 3
  • Attendee 4
  • Attendee 5

  • YOU MUST NOT ATTEND A SESSION AT CROCSTARS - this is because you recorded a temperature above 37.5 for you or one of the attendees.

    Please proceed to a Covid-19 Clinic for testing.

    https://www.nsw.gov.au/covid-19/how-to-protect-yourself-and-others/clinics

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  • Should be Empty: