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HEALTH DECLARATION FORM
Please ensure that the information given is accurate and complete. All details shall only be used in compliance to Thailand guidelines in relation to our business operations regarding COVID-19.
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* Indicates required question
FIRST NAME
*
Your answer
SURNAME
*
Your answer
CONTACT NUMBER
*
Your answer
EMAIL ADDRESS
*
Your answer
DATE OF TRAVEL
Daytrip Date
MM
/
DD
/
YYYY
DATE OF TRAVEL
Multi Night Full Dates
MM
/
DD
/
YYYY
GUESTS
*
Total Number of Guests
Your answer
1. Have you been sick in the last 30 days?
*
Yes
No
Required
2. In the last 14 days have you or your guests been in close contact or exposed to any person suspected or confirmed with Covid-19?
*
Yes
No
Required
DECLARATION & PRIVACY CONSENT FORM: By filling out this form, I declare and acknowledge that the information I have given is true, accurate and complete.
AGREE
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