Please use this form to register your contact details if you are visiting or playing at Ipswich Touch. Ipswich Touch collects this information to comply with Queensland Government COVID-19 requirements.
Contact details

Details of Visit

Sun 24th Jan 2021 5:03 pm

Maximum allowed time at venue to be no more that 1 hour.

Have you:

  • Had any COVID-19 symptoms?
  • Been in contact with any confirmed/suspected COVID-19 case?
  • Travelled internationally?
  • Travelled interstate from Victoria?
  • Travelled interstate from New South Wales?
Answering Yes to any of these questions, please stay home, DO NOT enter the premises.

Additional Guests

List other members from your household who are attending with you today.