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Travel Declaration and Contact Tracing Form Lodging
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Parador Palmas de Lucía
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Events 2020-2021
COVID-19
Travel Declaration and Contact Tracing Form Lodging
Reserve your hotel, we have the best rate guaranteed
Hotel
Hotel + Air
Airport
Select Departure City
Atlanta, Wm B. Hartsfield
Baltimore-Washington
Boston, Logan
Burbank-Glendale-Pasadena
Charlotte, Douglas
Chicago, O'Hare
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Washington Dulles
West Palm Beach
Hotel
*
Select a Hotel
Palmas de Lucia
Costa del Mar
MaunaCaribe
Hotel Lucia Beach
Arrival
*
Date
E.g., 10/19/2020
Departure
*
Date
E.g., 10/19/2020
Adults
1
2
3
4
5
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7
8
9
10
Children
0
1
2
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5
You are here
Home
This appendix has been specifically modified for the operation of our hotels.
Please complete and send this declaration 48 hours before the date of your stay.
Required field *
You must have JavaScript enabled to use this form.
Name of primary guest
*
Party Size
*
Maximum 4 people per room
Resident of Puerto Rico
*
Yes
No
City
*
State
*
Country
*
Date of arrival to Puerto Rico
*
Month
Month
Jan
Feb
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Year
Year
2018
2019
2020
2021
Time of arrival to Puerto Rico
*
Hour
Hour
0
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:
Minute
Minute
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Flight No.
*
Hotel / Lodging Property
*
- Select -
Parador Palmas de Lucía, Yabucoa, PR
Parador Costa del Mar, Yabucoa, PR
Parador MaunaCaribe, Maunabo, PR
Hotel Lucia Beach, Yabucoa, PR
Hotel Confirmation No.
*
Temperature recorded upon check-in
Name of the main guest
*
Due to the COVID-19 pandemic, this document constitutes a written consent of the guest to acquire personal and private information about him and his companions about the state of health and body temperature check before and during their stay and / or visit to the facilities. According to the CDC, a result of body temperature of 100.4°F / 38°C or higher is fever. Therefore, it constitutes an imminent risk to the health and safety of the person, those accompanying him, employees, guests and visitors. Therefore, you will not be able to enter and / or remain in the facilities. We reserve the right of admission.
*
I agree
Guest name # 2
Guest name # 3
Guest name # 4
Have you, or anyone in your party have had the following symptoms? Please circle relevant choices
*
Fever
Headaches
Tiredness
Loss of Taste
Dry cough
Sore throat
Shortness of breath
Body aches
Runny nose
Loss of Appetite
Other
None
Other
*
Have you been in contact with anyone confirmed with COVID-19 in the past 14 days?
*
Yes
No
Have you been in contact with anyone suspected to have COVID-19 in the past 14 days?
*
Yes
No
Have you been to affected countries/regions that are restricted for travel to the United States in the past 14 days?
*
Yes
No
If yes, please indicate the affected countries/regions
*
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