Online Check In - Eden Roc Cap Cana

Lead Passenger Information

Email*

Name*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Add Copy of Passport for Lead Passenger*

Do you have or recently had any of the following symptoms?*

Headache
Cough
Fever
Trouble Breathing
None of the above

Have you been in physical contact with people diagnosed positive with Covid-19?*

Yes
No

Do you have international health insurance?

Yes
No

If possible please provide company and policy number.

Additional Passengers

Number of additional people in your party*

Additional Guest 1 - Name*

First Last

Additional Guest 1 - Upload Passport

Do you have or recently had any of the following symptoms?*

Headache
Cough
Fever
Trouble Breathing
None of the above

Have you been in physical contact with people diagnosed positive with Covid-19?*

Yes
No

Do you have international health insurance?

Yes
No

If possible please provide company and policy number.

Additional Guest 2 - Name

First Last

Additional Guest 2 - Upload Passport

Do you have or recently had any of the following symptoms?*

Headache
Cough
Fever
Trouble Breathing
None of the above

Have you been in physical contact with people diagnosed positive with Covid-19?*

Yes
No

Do you have international health insurance?

Yes
No

If possible please provide company and policy number.

Additional Guest 3 - Name

First Last

Additional Guest 3 - Upload Passport

Do you have or recently had any of the following symptoms?*

Headache
Cough
Fever
Trouble Breathing
None of the above

Have you been in physical contact with people diagnosed positive with Covid-19?*

Yes
No

Do you have international health insurance?

Yes
No

If possible please provide company and policy number.

Additional Guest 4 - Name

First Last

Additional Guest 4 - Upload Passport

Do you have or recently had any of the following symptoms?*

Headache
Cough
Fever
Trouble Breathing
None of the above

Have you been in physical contact with people diagnosed positive with Covid-19?*

Yes
No

Do you have international health insurance?

Yes
No

If possible please provide company and policy number.

Additional Guest 5 - Name

First Last

Additional Guest 5 - Upload Passport

Do you have or recently had any of the following symptoms?*

Headache
Cough
Fever
Trouble Breathing
None of the above

Have you been in physical contact with people diagnosed positive with Covid-19?*

Yes
No

Do you have international health insurance?

Yes
No

If possible please provide company and policy number.

Travel Information

Arrival Date*

Should you require transportation to/from the airport?

Yes
No

Airline

Flight Number

Arrival Time

: HH

MM

Additional Information Required?

Is there any additional information you require?

Eden Roc Restaurants
Eden Roc Spa
Tours and outdoor activities
Outdoor Restaurants
Kids Club

Are you celebrating any special occasion?

Anniversary
Birthday
Honeymoon
Other

Is there any special requirements you need for your upcoming stay?

*

I agree to the privacy policy.*

Signature*