COVID-19 Self Declaration Form for Guests

The purpose of this Health Declaration Form is to determine whether you are at risk of contracting or currently have signs / symptoms of COVID-19.

Your privacy is important to us.  In providing the information in this form, you consent to our collection, use, processing, transfer and/or disclosure of your personal data, including any sensitive data, in accordance with all applicable laws and for the purposes of:

  • Monitoring, evaluating and responding to COVID-19;
  • Providing accommodation and services in the Hotel, having regard to Public Health Agency Guidelines and to the extent necessary, for the stay of our guests and staff;
  • Providing information to Public Health Agencies, Medical Personnel and any other relevant Government Agency


Please note that we will securely retain this information for a period of 56 Days following your Check Out from our Hotel, after which time it will be securely destroyed.

This information is being collected for the purposes of Covid-19 mitigation and contact tracing, and will not be used for any other purpose.