wheat&barrel

fresh pasta | wine bar

COVID-19 Declaration

Please fill out the following Covid-19 declaration form in order to dine-in at Wheat & Barrel.

First Name

Last Name

Email

Phone

Are you experiencing any Covid-19 symptoms?

No

Yes

Date

Select a Time

Initials

I confirm that the information given in this form is true

Thanks for submitting!

© WHEAT & BARREL. all rights reserved.