Goffs Medical Form

The following registration and medical form must be completed by any individual who wishes to attend the Arqana Breeze Up Sale 2021

Your Details

Please complete the highlighted fields:
✓ Valid Invalid number

Health Questions

Have you had symptoms of COVID-19: fever, coughing or sore throat?
Did you get tested for COVID-19?
Did you test positive for COVID-19?
What date did you test positive for COVID-19?
Have you recovered from COVID-19?
In the last 14 days have you been in contact with someone who has COVID-19 or currently has COVID19 Symptoms?
Do any of your household work within a healthcare facility?
Have you or any members of your household travelled abroad within the last 14 days?
Did you have to self isolate on your return?
Have you suffered any injury whilst in isolation or required hospitalization for treatment of an injury?
Did you require hospitalisation?

Terms & Conditions

By attending the Goffs Sales, all attendees acknowledge and agree that notwithstanding the risk mitigation protocols put in place by Goffs in accordance with Government guidance, it is impossible to eliminate all risk and therefore remains the potential for unintended transmission of COVID-19 between attendees.

All attendees must play their part in minimising the risk to themselves and others. Goffs and Goffs UK reserve the right to refuse entry or eject from the Sales Complex for any breach of COVID-19 requirements.

Goffs use the data you provide in this form to screen for the possibility that you may be carrying the COVID-19 virus and to control entry to Goffs property. Details on how we collect and use this data are set out in our COVID-19 Privacy Notice. This notice also includes details of your data protection rights, including the right to object to certain processing.

We may also share information we receive from you with other third parties as set out in more detail in the COVID-19 Privacy Notice which can be read here.