Culinary Food Tour Health Declaration Form
Full Name
Date
Contact Number
Email Address
Do you have any food allergies?
Dietary Restrictions
Medical Conditions
Have you experienced any fever, cough, or respiratory symptoms in the past 14 days?
No
Yes
Have you been in close contact with anyone confirmed to have a contagious illness in the past 14 days?
No
Yes
I confirm that the above information is true and complete.
Signature