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Health Declaration & Contact
Please fill out the following health declaration form in order to dine in our restaurant. We pledge that your information will only be used to contact you in the event of possible contact with confirmed covid case.
First Name
Last Name
Phone
My body temperature is lower than 98.6°F/ 37.5°C
Select time of visit
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Date
I confirm that the information given in this form is true
Submit
Thanks for submitting!
