Veterans Pre Check In Please carefully verify the spelling and enter the full legal name exactly as it appears on official documents, including the middle name if applicable. First Name *Please enter your full government nameMiddle NamePlease enter your full government nameLast Name *Please enter your full government namePhone Number *Date of Birth *Street AddressApartment, suite, etcCityState/ProvinceZIP / Postal CodeArrival and departure date? (We have your flight information, this is to confirm) *Do you have allergies? *Select the best optionYesNoWhat allergies? *Do you have dietary restrictions? ( ex: no pork, vegetarian, ect ) *Select the best optionYesNoWhat dietary restrictions? *Do you have any mobility restrictions? *Select the best optionYesNoPlease describe any condition that may affect your mobility, including difficulty using stairs, walking long distances, standing for extended periods, balance issues, wheelchair/walker use, recent surgeries, knee/back pain, shortness of breath, etc. *Please note: The Maple Suites Clinic is currently located on the 3rd floor and does not have elevator access at this time.Veterans who report mobility restrictions may have their appointments scheduled at Las Flores Hotel, where elevator access is available, to provide a safer and more comfortable experience.Transportation to and from appointments is included.If you are staying at Maple Beach: Are you comfortable going up and down stairs for appointments at Maple Suites Clinic? *Select the best optionYes, I am comfortable using stairs and prefer appointments at Maple Suites Clinic.No, I would prefer appointments at Las Flores Hotel due to elevator access.I can use stairs if necessary, but I prefer Las Flores Hotel if available.Consent *I understand that appointment locations may be assigned based on mobility and accessibility needs to ensure the safest and most comfortable experience possible.Do you have a sleep apnea machine? *Select the best optionYesNoAre you bringing other devices that need a certain accommodation? *Select the best optionYesNoWhat device? *Do you have any medical condition that is not stated in your disability breakdown letter that we should be aware of? *Select the best optionYesNoWhat is the medical condition(s)? *Do you have special requests?Are you bringing a guest? *Select the best optionYesNoI don't know yetPlease provide your guest's name and age: *If you are traveling with a guest, please select your preferred sleeping arrangement: Please note: Room configurations vary by property, and separate sleeping arrangements are limited and subject to availability *Select the best optionWe are comfortable sharing one bedWe would prefer separate sleeping arrangements if availableA 200$ hold will be placed on your card at check in as a security deposit for your room. It will be released after check-out. DO YOU ACKNOWLEDGE AND AUTHORIZE THE TEMPORARY 200$ HOLD ON YOUR CARD? *Select the best optionYesNo ( If this option is selected, we cannot provide accommodation )Upload your Passport or Driver's Licence *Choose FileNo file chosenDelete uploaded fileI , , whose signature appears at the bottom of this page, in my name and the name of all the people who stay here with me, hereby relieve the Hotel Las Flores wellness center, from all the responsibilities and any type of claim based on my occurrence related with sports or other activities at the pool, the sea, the beach, floors or other different areas of the hotel, also any occurrence related with my imprudence and lack of precaution that cause any belongings damages of the Hotel Las Flores damages. I also relieve them from any responsibility of all activities which are conducted by concessionaires or licensed companies, or which are due to carelessness toward hotel signs, or which have connections with abuse of alcohol or drugs use or which are connected with money, valuables, jewels, objects or documents that have not been deposited in safety boxes that the hotel provides to its guests.In virtue of this company, Hotel Las Flores wellness center, being Dominican Companies and the services are provided in Dominican Republic, the undersigned agrees to submit all controversies related to services to guests to the jurisdiction and the competence of Dominican courts and hereby renounces expressively all rights of any other court or authority outside the Dominican Republic. By order of the Central Bank of the Dominican Republic, payments must be done in Dominican pesos based on the official exchange rate. I agree to vacate my room (s) by 10:00 am on my check-out date. I accept and I am responsible for all charges made with my RoomKey Credit CardUpon Check Out my account will be settled in this registered credit cardConsent *I accept the terms and conditionsToday's DateSignature *Sign HereYour browser does not support e-Signature field.Submit