Name *

First

Last

Email *

Phone *

I hereby declare that: *

I have not travelled overseas within the last 14 days
I have not travelled to the Northern Beaches since Friday, 18th December 2020
I am not showing signs and symptoms of COVID-19 (fever, flu like symptoms such as cough, sore throat or headaches; or having difficulty breathing)
I have not had close or casual contact with a person who has been confirmed with COVID-19
I accept

COVID-19 Chauffeured Registration