Please fill out all the information in this form.
Email *
Full Name *
Present address *
Home Phone Number *
Office Phone Number *
Cell Phone Number *
Best time to call: *
Date and duration of your stay at the "Prana Residence-Spa *
Driver's License # *
Make/ Model *
License Plate *
Name, approximate age and relationship of every person that will stay with you include children: *
(Prana Residence-Spa is not well suited for children under 7 years of age. However, to accommodate you, we will permit them upon a signed waiver of liability) Maximum occupancy for Prana Residence-Spa is seven* (7). *Please note that 7th bed is actually a mattress in the loft which is in the bedroom with the 2 single beds.
Contact name and number in case of emergency *
Relationship with your contact?
Pets? (Upon approval) *
If yes, please describe Breed**, Name, Color, Weight, Age, Sex, Licence Tag and whether crate trained:
(Please include all of the details requested. **Our insurance excludes the following breeds: Pitbull, Rottweiler, Chow, Doberman, Wolf Hybrid, Akita, Bull Mastiff)
To better serve our guests we would appreciate it if you let us know your reason for choosing Prana
How did you hear about us? *
(Name of referrer or website, ad etc.)
Any Notes or Comments?
Digtal Signature *
Today's Date *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.