Dougall Menu : John Max Sports & Wings

Please fill out the form for contact tracing.
Click the add button to add another guest.
All guests, seated at your table, must have their name and phone number included.

Once you hit submit you may select your desired menu page.

Thank you.

contact trace dougall OLD

Date *

Time *

In the past three (3) days have you or anyone at your table had any shortness of breath, chest pain, a sore throat, a new worsening cough, a new runny nose or diarrhea? *

Has anyone at the table been in close contact (within 6-feel or 2-meters for 15-minute or more) with someone who has been instructed to self-quarantine, who is waiting on a COVID-19 test result and/or who has a confirmed case of COVID-19? *

Does anyone at the table have a fever? (A fever is considered 100.4 or higher) *

Guests

Full Name *

Phone Number *

xxx-xxx-xxxx

Add Remove

I agree:

to follow all safety procedures and guidelines put forth by John Max Sports & Wings.
to immediately alert a staff member if any question was answered YES.
to abide by all government and John Max Sports & Wings regulations without issue.

I Agree

Dougall Menu

Guests

LINKS