Covid-19 Check-In - Nambour RSL | It's your club!

Please complete this check-in form prior to using the Club facilities.

Name*
First Last
Address*
Street Address City State / Province / Region ZIP / Postal Code
Phone or Email Address*
Date*
DD slash MM slash YYYY
Time*

: Hours

Minutes
Please list additional names of children under the age of 18:

Mon – Sun

10am – Late

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