Track And Trace

Track and Trace

Thank you for visiting Lévy Gorvy Hong Kong and providing your contact information. Your details will be kept on file for twenty-one days for the purpose of assisting in ‘Track and Trace’ efforts, after which your data will be deleted. Visitors who do not register and/or present symptoms of fever, cough, and/or a cold will be turned away.

I hereby certify, represent and warrant as follows:
Within the fourteen (14) days immediately preceding the date of this Health Declaration Form, I have not:

a. Tested positive or presumptively positive with COVID-19 or been identified as a potential carrier of COVID-19 or similar communicable illness
b. Experienced any symptoms commonly associated with COVID-19
c. Been outside of Hong Kong
d. Been in direct contact with or the immediate vicinity of any person I knew and/or now know to be carrying COVID-19 or has travelled outside of Hong Kong within the last fourteen (14) days

By clicking “Submit” below you are indicating you are that all the information on this form is true and accurate, to the best of your knowledge.

Name*
FIRST NAME Last name
Email:*
Phone Number:*
Temperature:*
Date:*
MM slash DD slash YYYY

The health and safety of everyone remains our top priority. We are closely following the guidelines and recommendations of local governments and are taking every precaution in order to ensure the well-being of our visitors and team. Hand sanitizer will be available, and we kindly request that all visitors bring their own mask and wear it during their entire time at the gallery.