COVID Health decleration form | millviewbnbullapool

lead guest full name

2nd guest name

My body temperature is lower than 98.6°F/ 37.5°C

Are you experiencing any flu symptoms?

Yes

Date

Initials

I confirm that the information given in this form is true

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

Thanks for submitting!