Apartments
Little Cove Luxury Resort
Facilities
The Area
Little Cove
Little Cove Luxury Accommodation
Booking Terms
Testimonials
Discover Noosa
Eat
Play
Relax
Stay
Blog
Contact
Company Profile
Covid-19 Guest Form
BOOK NOW
Apartments
Little Cove Luxury Resort
Facilities
The Area
Little Cove
Little Cove Luxury Accommodation
Booking Terms
Testimonials
Discover Noosa
Eat
Play
Relax
Stay
Blog
Contact
Company Profile
Covid-19 Guest Form
BOOK NOW
Covid-19 Self Declaration Form
COVID-19 Self Declaration Form for Guests
The purpose of this health declaration form is to determine whether you are at risk of contracting or currently have signs / symptoms of COVID-19.
Arrival Date
*
Date Format: DD slash MM slash YYYY
Departure Date
*
Date Format: DD slash MM slash YYYY
Main Guest Full Name
*
First
Last
Contact Number
*
Email
*
Address
*
Street Address
City
State
Postcode
How many ADULTS will be staying at The Cove Noosa?
*
How many CHILDREN will be staying at The Cove Noosa?
*
Please list each guest name (please include their first and last names)
*
Are any guests experiencing any of the following symptoms: Loss of Smell, loss of taste, cough sore throat, fatigue, aches and pains, shortness of breath, runny or stuffy nose, headaches or raised temperature
*
Yes
No
Please list the guest name/s and details of those experiencing these symptoms
Has any guest returned from travel outside of Queensland in the past 14 days?
*
Yes
No
Please list the guest name/s and provide more details of the situation
Has any guest been in close contact with a person who has returned to Australia in the last 14 days or potential contact with someone that is suspected to have COVID-19?
*
Yes
No
Please list the guest name/s and provide more details of the situation
Has any guest been exposed to anyone that is suspected or confirmed to have COVID-19?
*
Yes
No
Please list the guest name/s and provide more details of the situation
Declaration
*
I hereby declare that the details furnished above are true and correct to the best of my knowledge and belief and I undertake to inform you of any changes therein, immediately. I understand further that I will advise The Cove Noosa if any of my guests show symptoms or are diagnosed with Covid 19 following your departure.
Yes
No
Full Name
*
Dated
*
Date Format: DD slash MM slash YYYY
