Health Declaration Form | boholseabreeze

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106720107_287305105723911_79253354946553

BOHOL SEA BREEZE

ALONA BEACH, DANAO, PANGLAO,BOHOL

This form is intended only for those who have confirmed bookings and reservations.

Guest Name

Date of Birth

Country/Address:

Check in Date

Check out Date:

Email Address

Please check if you have any of the following at present or during 14 days: *

Fever

Headache

Sore Throat

Body Weakness

Cough

Difficulty Breathing

Unexplained Bleeding or Brusing

Severe Diarrhea

None

Places or country visited from the past 2 weeks:

Tel No./ Mobile No.

Accomplish this form honestly and completely to facilitate quarantine procedures. Anyone found giving false information is liable in accordance with Philippines Law.

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