COVID-19 DECLARATION

Name *

Mobile no: *

Email Address *

Residential Address *

Please list all members in your travelling group: *

Date of travel: *

Arrival Flight Number *

Myself and my travelling group are currently free of COVID-19 symptoms *Agree

I/We will notify host if any person in our group develop COVID-19 symptoms prior to departure or whilst a guest on the island *Agree

I/we have not been diagnosed as COVID-19 positive in the last 14 days *Agree

I/we have not been in close contact with COVID-19 in the last 14 days *Agree

I/we have not been in a restricted area or place where a stay at home order is in effect in the previous 14 days *Agree

I/we have not visited a location or venue where public health advice has been given to self isolate and get tested *Agree

Are all passengers fully vaccinated? * Yes No

If no, please provide exemption details below:

Please note: As per current public health orders and to protect our staff and vulnerable community members you will need to be fully vaccinated or have an exemption (medical or age) to stay at Somerset apartments. It is a requirement at check in to show your vaccination/exemption status, please travel with the required documentation. We will be unable to check you into your accommodation without this.

All information in this form will be kept for 28 days from check out and then permanently deleted.

COVID-19 DECLARATION

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COVID-19 DECLARATION

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