Image by Bára Buri

COVID VISITOR HEALTH DECLARATION FORM

By completing this form, I consent to Norwood Park Events collecting, using, and storing my personal information for the purpose of compliance with the Government’s or properly constituted authority’s, policies, procedures, directions, laws, or regulations.

Each person visiting Norwood Park must complete this Visitor Health Declaration Form individually. 


Any person who has not completed this Form will be refused access to Norwood Park.  You may not complete this Form on behalf of another person unless previously agreed with Norwood Park.

Norwood Park retains the right to refuse entry to any Visitors based on the information provided by a Visitor in this Form.

I am a confirmed case of COVID-19 (Coronavirus).
In the last 14 days, I have had close contact with a confirmed case of COVID-19 (Coronavirus)?
I am suffering from symptoms flu-like symptoms (or in the last 48 hours), which may include: Fever, Cough, Sore-throat, Running/Stuffy nose, Headache, Aches and pains, Fatigue, Breathing difficulties.
In the last 14 days, I have returned from ANY overseas destinations.
In the last 14 days, I have had close contact with someone who has returned from ANY overseas destinations in the last 14 days.
In the last 14 days, I have had close contact with someone with flu-like symptoms (i.e. fever, cough, sore throat, runny nose, fatigue, difficulty breathing).
 

NORWOOD PARK EVENTS

01636 302099

Norwood Park
Halam Road, Southwell
Nottinghamshire, NG250PB
United Kingdom

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