Discovery Covid 19 Guest Assessment

Freedom Rainbow Beach

Covid 19 Guest Safety Screening Form.
Freedom Rainbow Beach is concerned for the safety and health of its guests, employees, visitors and contractors and is following the development of the Coronavirus disease (COVID-19) closely. In the interests of maintaining a safe and healthy environment for everyone, we require that you complete this self-assessment up to 48 hours before you stay with us.

It is a requirement that a Self-Assessment form is completed for all guests prior to checking in.
Passed Assessment
Full Name *

First Name Last Name
Phone Number *

Area Code Phone Number
E-mail *

Hostel Location *
Names of all Travelling Companions *
Enter NA if a travelling alone.
Check-in Date *

Day Month Year
Click for Date Selector
Name of previous place of residence / accommodation? *

Declaration
1. I acknowledge and agree that Freedom Hostels Group Pty Ltd (ACN 141 716 967), its directors, employees, officers, agents, contractors and related entities (FHG) maintain the right to deny me accommodation for any reason. I also agree to comply with any policies or reasonable directions issued by FHG or its representatives.

2. I acknowledge and agree I will disclose any pre-existing medical or other condition that may affect the risk that either I or any other person will suffer injury, loss or damage during my stay at FHG. I agree to report any medical symptoms I may suffer or experience during my stay with FHG to a FHG representative. I consent to receiving any medical treatment that FHG or its authorised representatives consider necessary or desirable during my stay at FHG and agree to reimburse FHG for any costs or expenses incurred in providing such medical treatment.

3. I declare that the information I have provided in this form is true and correct and that penalties for misinformation may apply. I release FHG from and against any liability in connection with the information I have submitted.

By signing below, I agree and acknowledge I have read, understood and accurately completed this Form:
Date *

Day Month Year
Date
Signature *

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Workings
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