COVID Regisiter

Name *

First

Last

Email *

Phone Number *

Have you travelled overseas recently? *

Have you recently travelled to Victoria or a known hotspot in NSW? *

Within the past 14 days, have you shown flu-like symptoms, had a temperature over 37.5C, or been in contact with a known case of COVID-19?? *

I understand that Aspire Gallery is collecting these details for the purposes of record keeping during the COVID-19 Pandemic. I understand that they will not be used for marketing purposes and will be destroyed after 28 days. *

• Yes, I understand the above.

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