Declaration Form - Holiday Van Owners

Entry to caravan park or camping ground under NSW Public Health Order

To protect the health and well-being of everyone in Blacksmiths Beachside Holiday Park and prevent the spread of COVID-19 in the park and our community, you must complete this Declaration Form to confirm your recent travel, health status and contact details (as well as recent travel, health status and contact details of any persons accompanying you). We may provide this information to NSW health authorities if necessary for contact tracing purposes.

The information below must be filled in prior to every visit from 1/6/2020. Gate codes will be reset according to arrival and departure dates.

If you are experiencing symptoms of COVID-19 including sore throat, fever, dry cough, shortness of breath (full list of symptoms available here), please DO NOT come to the park and seek medical advice through your doctor or by calling the National Coronavirus Hotline on 1800 020 080.

If you have any queries please email the park at [email protected]. You can also find additional information about COVID-19 measures we are taking at the park here.

I confirm:
Please provide details of all persons staying overnight at your holiday van site:
Please provide details of all day visitors to your site:
By ticking this box you agree with the terms and conditions below: