Covid-19 Contact & Trace
All guests must provide this information as directed by the FOD Economie. By filling in this information the guest gives permission for B & B Den Bongaerd to maintain their personal contact details for a period of 14 days.
Date of Arrival
-
Day
-
Month
Year
Date
Name
First Name
Last Name
Name
First Name
Last Name
Phone Number
-
Email
example@example.com
Submit
Should be Empty:
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