COVID-19 Declaration Form - Merool

COVID-19 Declaration Form

Before filling in the below form, please ensure you have read our COVID-19 Policy here

To protect the health and well-being of everyone in Merool Holiday Park and prevent the spread of COVID-19 in the park and our community, you must complete this Declaration Form to confirm your recent travel, health status and contact details (as well as recent travel, health status and contact details of any persons accompanying you). We may provide this information to the NSW Health Authorities if necessary for contact tracing purposes.

I confirm

I/we have not returned from overseas in the past 14 daysI am/we are not required to be in self-isolation/self-quarantineI/we have not previously been diagnosed with COVID-19To the best of my knowledge, I/we have not been in close contact with a person who is suspected or confirmed case of coronavirus (COVID-19) in the past 14 daysI/we have not had a fever, cough, sore throat, shortness of breath or other cold/flu-like symptoms in the last 72 hours and I am/we are otherwise wellI/we confirm we are not from Victoria


Please provide the details of all attendees for your upcoming visit (including children).

Vehicle Registrations

Please provide the details of all cars for your upcoming visit.

Primary Contact Details