Registratie contactgegevens

In connection with possible source and contact research by the GGD (Dutch health authority), we request that you fill in the information below. Your data will be stored by us for 14 days and will then be destroyed.

Valk Exclusief

Hotel

Firstname

Middlename

Lastname

Table number

Covid contact details *

Telephone

Emailaddress

Covid health check questions *

In the past 24 hours, have you or one of your housemates suffered from a cough, a cold in the nose, a fever from 38 degrees Celsius or chest tightness?

I hereby consent that my data will only be shared with the GDD for source and contact research. Your data will be destroyed after 14 days.

Registratie contactgegevens

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