Online Check In Form

Hippo Lodge Covid-19 Health Declaration

How are you feeling today?

First Name

Last Name

Contact number

Have you tested positive for Covid-19 in the last 21 days

Please provide date of last covid test

Are you experiencing any of the following symptoms: fever, cough, chills, sore throat, loss of taste or smell, body aches, vomiting/nauseous or diarrhea

Have you been in close contact with a Covid-19 patient in the last 21 days

Check In Date

Initials

I declare that the info I’ve provided is accurate, complete and true. You agree and give permission to the Elephant Lake Group to share this information provided with the relevant Public Healt Authorities and Department of Tourism(This is a condition of entry). Based on the answers provided, The Elephant Lake group may at its sole discretion allow / disallow you access to its facilities. Temperature will be taken on day of arrival.

Thanks for submitting!