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COVID-19 SAFE PATRON CONTACT FORM

In order to keep Centenary Park Golf Course a COVID-19 Safe venue and to adhere to the VIC Governments COVID-19 Safety Plan, we are now required to keep a record of every patron who has attended the facility.

This information will be kept private for a period of 28 days and only shared with the necessary organisations for tracking COVID-19.

Please fill out form below and submit:

Covid Rego

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Name*
Have you attended any known reported COVID case locations in the last 14 days?*
Consent
This field is for validation purposes and should be left unchanged.