Check in form

Thank you for taking the time to fill out this check-in form. This information will only be used to notify you if we have received information that you were in our facility while a COVID-19 case was active. The safety and protection of our patrons and staff are our top priority and we are taking every precaution to create a safe space for everyone.

Name

First Name

Last Name

Email

Phone

(###)

###

####

Which location did you visit?

Date

MM

DD

YYYY

Time of Visit

Approx. time of arrival

How Many Guests In Your Group

I declare that no members of my dining group have been feeling symptoms of illness including /but not limited to) fever, coughing fatigue, sore throat, difficulty breathing, shortness of breath or chest pains in the last 14 days.

We ask that if you have felt any symptoms of illness in the past 14 days to refrain from eating in our pubs. We are happy to offer takeout options and have delivery as well!

I Agree