Thank you for visiting Hotel Darwin. This form is used for the purpose of contact tracing should there be an outbreak of COVID-19 in the Northern Territory.
You will receive a confirmation email on completion of this form. Please keep this email as you may be required to present this to staff upon entry or during your visit.
If you are visiting with immediate family members and you reside in the one household, only one person is required to complete this form.
I/We consent for the venue to hold onto the contact information provided above for COVID tracing purposes.
Entry to the venue and service may be declined should you choose not to consent to COVID tracing requirements.