Covid Guest Screening

Name and Surname*
Id No / Passport No*
Contact Number*
Temp*
Do you have any of the following symptoms: Yes / No
Cough*
- Yes
- No
Fever/Chills*
- Yes
- No
Sore Throat*
- Yes
- No
Shortness of breath*
- Yes
- No
In the last 14 days, to your knowledge, have you been in close contact with anyone who tested positive for COVID-19 or is waiting a test result?*
- Yes
- No
Are you awaiting test results of a COVID-19 test?*
- Yes
- No
Newsletter Updates
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Email
CAPTCHA
Phone
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+27 21 884 4815
reservations@hawksmoor.co.za

+27 21 884 4815
wines@hawksmoor.co.za

Matjieskuil Farm, R304, Stellenbosch 7599