On arrival, I will provide my correct name and may be asked to produce photo ID (eg driver’s license). I understand and agree that if I fail to answer any questions from the CovidSafe Warden or other designated personnel I may not be allowed to enter the event.

Throughout the time of my attendance, except when entering or leaving, I will remain in my assigned seat, unless as reasonably directed by the CovideSafe Warden or to go to the washroom.

In particular, throughout the time of my attendance at Chanukah in the Park, I will NOT engage in hand-shaking, hugging, kissing or moving around to greet people or to socialise.

Throughout the time of my attendance, and when entering and leaving, I will immediately and fully comply with all policies (including CovidSafe Plan) and the directions of the CovidSafe Warden or other designated personnel. My failure to comply with any such instructions or to comply with the CovidPlan and policies may result in me being denied entry or being asked to leave the premises.

Throughout the time of my attendance, and when entering and leaving, I will practise social distancing by strictly observing the rule of no more than one person per 4 square metres, and maintaining a physical distance of at least 1.5 metres from all other persons outside of my household.

Upon leaving I will not linger, or join in gathering with any other people, on the premises or its immediate precincts.

I consent to Dover Heights Shule and its staff collecting, storing, using and disclosing my personal information (including my health information) solely for the purposes of assessing this application, and disclosing only my name, address and contact details to any government health official on request so that I can be contacted promptly if it should transpire that someone who has tested positive to the COVID-19 virus attended the same event.

I am the applicant, and I have personally completed all items in this application form.

I acknowledge and agree that the information I have provided is true and correct to the best of my knowledge and that I have not knowingly provided information, which is false, misleading or incomplete.

I understand that the Shule, its office-bearers, event organisers, clergy, staff and contractors, and other persons attending the event, will rely on the truth and accuracy of the information I have provided in this application in seeking to mitigate the risk of COVID-19 infection by community spread within the event, and the risk of severe or lethal consequences if infection occurs.

If, between the time of submitting this application and the scheduled time of commencement of the event, my circumstances change in any way that would result in any information I have provided no longer being true, correct and complete, I will immediately notify the event organisers or a staff member at the Shule office of full details of the changed circumstances. I will not attend if there is an increase in my COVID19 risk factors as detailed above.

CLICK HERE to view our COVID Plan