Register your Visit at SWB

"*" indicates required fields

Personal data:

Please fill out a copy of this form for each single individual. Upon arrival at our facilities check-in with information desk.
Name / Naam*
Date of birth*
Date of visit*
Arrival Time*
:

Questions:

Are you currently experiencing fever- or respiratory symptoms?*
Have you been in contact with someone who has been positively diagnosed with COVID-19 within the last 14 days?*
Do you have a household member with symptoms of COVID-19?*
Entrance to our premises will be declined when tested positive or when you have ticked "yes" on one or more of the boxes above.*
I hereby sign*
Sign date*

CONNECT WITH US
CONTACT US AT

+31 (0) 184-412303

VISIT US AT

Scheepswerf Boer
Industrieweg 18 3361 HJ Sliedrecht, Netherlands

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