Covid-19 Form | CandysLodge

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First Name

Last Name

Email

Arrival Date

Please provide you a Phone Number for contact tracing notification?

My body temperature is currently lower than 37.5°C, and I agree to provide a reading upon check-in!

Are you experiencing any flu or flu-like symptoms? Please check and confirm if any of the following are true?

Cough

Shortness of breath

Sore Throat

Runny Nose

Loss of Taste

Nausea, vomiting, diarrhea, abdominal pain.

Not Feeling Well with headache, unexplained tiredness, and muscle aches

None of the above

In the last 14 days, have you travelled outside of South Africa?

No

Yes

Please check and confirm your agreement to the folowing requirements for your stay

I will abide by "Social Distancing” requirements outlined by public health authorities

I will abide by "Face Mask” requirements outlined by public health authorities

I will “Sign In” at the public bars as required by all patrons

I will “Notify” Candy’s Lodge as soon as possible should I become sick and am a confirmed case of COVID-19

I confirm that the information given in this form is true and agree to the statement above regarding my stay at Candy's Lodge.