Home
About us
X'treme @ Sembawang
Covid-19 Declaration
PAR Q & Indemnity
Contact
Privacy Policy
Covid-19 Declaration
Go Green, please fill up this online declaration.
##formID0d4bc7014d970662fc5e2bfe43834cdeend##
Do not enter anything in this text box otherwise your message will not be sent!
Full Name
*
Phone
*
Event
*
1 Star
2 Star
Roll Clinic
Expedition
Kayak Rental
First day of event DD/MM/YYYY
*
Second day of event DD/MM/YYYY
Third day of Event DD/MM/YYYY
1. Have you been in contact with a confirmed/suspected COVID-19 case in the past 14 days?
*
No
Yes
2. Have you travelled overseas in the past 14 days?
*
No
Yes
3. If you have been in contact with a confirmed/suspected COVID-19 case in the past 14 days, or have been issued a Stay-Home Notice (SHN) in the past 14 days, please refrain from participating.
*
I acknowledge the above
By submitting the above, you hereby declare that the information in this form is true and correct to the best of your knowledge and that you have not withheld nor misrepresented any material facts.
Agree
*
Agreed
Home
About us
X'treme @ Sembawang
Covid-19 Declaration
PAR Q & Indemnity
Contact
Privacy Policy