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Search for:
HOME
PROFILE
SOLARIS GROUP
PINE LODGE
THE HUB BOUTIQUE HOTEL
SOLARIS SPAS
BASE CAMP ADVENTURES
EVENTS
NEWS
CONTACT
ONLINE CHECK-IN
COVID19 Online Check-In
froggdesigns
2020-06-08T14:38:28+02:00
WE LOVE HEARING FROM CLIENTS
COVID-19 ONLINE CHECK-IN
1
Guest Information
2
Booking Information
3
Health Screening Information
4
Check-In Information
Where are you staying?
*
Pine Lodge Resort
The Hub Hotel
Name
*
First
Last
ID / Passport No
*
Phone
*
Email
*
Enter Email
Confirm Email
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Emergency Contact
Contact Name
*
First
Last
Contact Phone
*
Check-In Date
*
DD dash MM dash YYYY
Duration Of Stay
*
Please enter a number from
1
to
30
.
Booking Channel
*
Direct (phone/email/website)
Travel Agent/Company
Booking.com
Do you suffer from a respiratory condition?
*
Yes
No
Respiratory Condition
*
Are you over 60 years of age?
*
Yes
No
Are you feeling generally well?
*
Yes
No
Do you have any of the following symptoms?
*
Cough
Fever/Chills
Sore Throat
Shortness of breath
Other
Have you travelled internationally in the last 30 days?
*
Yes
No
Which country(s) have you visited?
*
Country
Date (dd-mm-yyyy)
In the last 14 days, to your knowledge, have you been in close contact with anyone who tested positive for COVID-19 or is awaiting a test result?
*
Yes
No
Have you attended / visited a healthcare facility treating patients for COVID-19?
*
Yes
No
Are you awaiting test results of a COVID-19 test?
*
Yes
No
Room Cleaning Options
For your safety, we have various service options available
*
I am happy with your standard COVID-19 Room Cleaning (room serviced every 2nd day, towels replaced on request)
I would prefer my room NOT TO BE SERVICED during my stay (towels replaced on request)
Catering Options
For your safety, we have various catering options available
*
I am happy to enjoy my meals IN-HOUSE with your COVID-19 precautions
I would prefer a TAKEAWAY meal box (if available)
Guest Declaration
*
I confirm that the information declared above is correct and that as per the regulations to the Disaster Management Act, 2002 published on 17 March 2020, any person who intentionally:
1. Misrepresents that he/she/any other person is infected with COVID-19 is guilty of an offence and on conviction can be fined and/or imprisoned (for up to 6 months)
2. Exposes another person to COVID-19 may be prosecuted for an offence, including assault, attempted murder or murder.
I further agree to all the
House Rules and Conditions of Residence
for my stay as per the attached document as well as to abide by the COVID-19 safety standards prescribed by the Establishment.
Comments
This field is for validation purposes and should be left unchanged.
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