Language
English (UK)
Kirktown Garden Centre Restaurant Contact Tracing
A main contact for a person in each household needs to fill a form in please.
Restaurant Venue:
*
Inside
Outside
Did you also shop with us today?:
*
Yes
No
Date of Visit:
-
Day
-
Month
Year
Date
1
2
3
4
5
6
7
8
9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Main Contact Name:
*
One point of contact is required, per household at the table, your phone number or email address.
Phone Main Contact 1:
*
E-mail:
*
Submit
Thank you for dining with us!
Disclaimer: Information provided is strictly confidential and will only be used for contact tracing purposes.
Should be Empty:
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