Contact tracing registration for Burleigh

Registration for BLEACH*

It is a requirement of attending this event that you register your details for contact tracing purposes.

are experiencing any flu-like symptoms (sore throat, runny nose, persistent cough, shortness of breath, fever);
have been in close contact with a person who has tested positive for COVID-19;
are awaiting the results of a test for COVID-19;
reside with anyone who is awaiting the results of a test for COVID-19;
have returned from international travel or arrived from an Australian COVID hotspot and failed to observe the government requirement to quarantine for 14 days.

Which BLEACH* Venue are you attending?*
Name
First Last
Email*
Phone*
Postcode*
Do you want to subscribe to our enews
- Yes
Additional attendee contact details
It is a legal requirement to provide all attendees contact information. Please complete the details below for all other attendees in your party.
Attendee 2
Name
First Last
Phone
Postcode
Attendee 3
Name
First Last
Postcode
Phone
Attendee 4
Name
First Last
Phone
Postcode