Intake form

Name *

Email address *

What type of accommodations are you interested in?

Please select at least one option.

Single Room

Double Room

Suite

Shared Room

What dates are you planning to stay with us?

How many guests will be staying?

What type of cuisine are you interested in?

Please select at least one option.

Vegetarian

Vegan

Gluten-Free

Seafood

Meat

Desserts

Do you have any dietary restrictions or allergies?

How did you hear about J U A N I T A?

Would you like to add any special requests or notes?

Additional questions or comments