Health Declaration Form
In accordance with City Garden Hotel's Data Privacy Policy, information you enter here will not be used for any purpose, except for health and safety requirements as mandated by DOT / DOH
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Full Name (Last, Given, Middle) *
Age
Complete Current Address (House No., St,. Brgy., Municipality/City, Province) *
Mobile/Phone Number *
E-mail Address
Date of Visit (MM/DD/YY) *
MM
/
DD
/
YYYY
Time of Visit *
Time
:
FIREFLY (seating/table) / CITY GARDEN GRAND / Location *
Submit
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