Home
History
Meet The Team
Gift Vouchers
Offers
Midweek Saver 20% Off
The Ultimate Overnighter DBB
Springbreak
The Peregrine Splendour
Spa Revitaliser Escape
Eco Awareness Package
Spa Special Offers
Rooms & Suites
Classic Rooms
Premium Rooms
Signature Rooms
Suites
The Muckross Suite
The Innisfallen Suite
The Killarney Suite
The Garden Suite
The Mangerton Suite
The Kenmare Suite
Dining
Book A Table
The Peregrine
The Garden Bar
Afternoon Tea
The Terrace
The Lane at The Ross
Luna Deli + Wine
Local Suppliers
Afternoon Tea
The Spa
The Spa Wellness Rituals
Biotec Pro-Glow Facials
Body Treatments & Massage
Luxury Spa Experiences
Killarney Park Favourites
Nail Care & Enhancements
Spa Special Offers
Pool & Leisure Facilities
Leaders Club
Our Killarney
Concierge
Killarney National Park
Muckross House
Muckross Traditional Farms
Gap of Dunloe
Lakes of Killarney
Ross Castle
Torc Waterfall
Killarney House
Innisfallen Island
Wild Atlantic Way
Skellig Michael
Blasket Island Centre
Valentia Island
Dingle Peninsula
Beara Peninsula
Ring of Kerry
Golf in Kerry
Gallery
Video Gallery
Events & Celebrations
Meeting and Events
Sustainability
Sustainability Achievements
The Killarney Park Sustainability Goals
The Killarney Park Waste Management
The Killarney Park Energy Management
The Killarney Park Water Management
Careers
Accessibility
FAQ’s
Book Now
Rooms
Dining
Menu
Book Now
Spa
Offers
Book Now
Covid-19 Self Declaration Form
Please Complete Prior To Spa Appointments
Please fill out one form per person prior to arrival to the hotel and spa.
In light of the global risks associated with COVID-19, no Company can guarantee a risk-free environment and protection against the spread of COVID-19 is a joint responsibility between our guests and Hotel team. Preventative measures are in place throughout the hotel and these protocols and precautions must be complied with by all.
Therefore, in the interests of safety of guests, Hotel team, visitors, families and the wider community, we ask that you complete the following self-declaration form prior to your arrival at the Hotel. Your co-operation and support are appreciated in helping protect everyone in our hotel.
All information obtained through this form will be stored in line with the Data Protection Policy.
Name
*
First
Last
Address
*
Street Address
Address Line 2
City
State / Province / Region
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini (Swaziland)
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Saint Barthélemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia
South Korea
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen Islands
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Email
*
Have you any of the following symptoms now or in the past 14 days?
Cough
Fever
High Temperature
Sore Throat
Runny nose
Breathlessness
Flu like symptoms
Lack of sense of smell
Lack of Sense of taste
Have you been diagnosed with confirmed or suspected COVID-19 infection in the last 14 days?
*
Yes
No
Do you live in the same household/or have you been in close contact with someone who has symptoms of COVID-19 and/or who has been in isolation within the last 14 days?
*
Yes
No
Are you a visitor to the island of Ireland and or returning from another country (including Northern Ireland) within the last 14 days?
*
Yes
No
If ‘YES’, please state the country?
Do you understand that until 9th January 2022, day visitors to The Spa will be required to show a Covid Pass upon arrival at The Spa reception? Hotel residents can present this information upon check-in at the hotel reception desk.
*
Yes
I confirm that I have responded to the questions above truthfully based on my current condition and I commit to advising the Hotel if this situation changes.
*
Confirm
Date
*
Day
Month
Year
We recommend you download the Irish Government Covid19 Tracker App.
