Guest Pre-Arrival Self Declaration Form

Form

We are taking every step we can to ensure that we continue to offer the most memorable experience to our guests whilst ensuring compliance with the Government guidelines. It is a joint responsibility between our guests and hotel team and we therefore ask for your help in ensuring Sheen Falls Lodge remains COVID-19 free.

We require the below personal data for the purpose of maintaining the safety of our guests, staff, and locality. The information on this form is strictly confidential and it will be held securely following GDPR guidelines for 28 days under Failte Ireland guidelines.

*General Data Protection Regulation
ALL QUESTIONS MUST BE ANSWERED
*denotes mandatory
Please answer YES or NO
Have you had any Covid-19 symptoms now or in the past 14 days?*
- YES
- NO
If vou have answered 'YES', vou are required to contact your GP
Have you been diagnosed with confirmed COVID-19 in the last 14 days?*
- YES
- NO
Do you live in the same household/or have you been in close contact with someone who has symptoms of COVID-19 and /or who has been in isolation within the last 14 days (ie. Less than 2 meters for more than 15 minutes accumulative in one day)*
- YES
- NO
We respectfully ask all guests to follow Public Health guidelines during their stay at Sheen Falls Lodge, including wearing a face covering when transiting around the public areas of the hotel and upon entering/leaving dining rooms. Please see the Government website for public guidance and the most up to date information on the health measures in place.

We recommend our guests download the COVID-19 Tracker App

I confirm that I have responded truthfully to the above questions based on my current condition and will advise Sheen Falls Lodge if my situation changes.
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Guest name:*
First Last
Date*
DD slash MM slash YYYY
Mobile no.:*

Guest Pre-Arrival Self Declaration Form

Form

ALL QUESTIONS MUST BE ANSWERED

Please answer YES or NO