Old Nurses Residence Bed and Breakfast

Old Nurses Residence Bed and Breakfast

Lilac Hollow Cottage - Damage Waiver Form

Thank you for booking with the Old Nurses Residence Bed and Breakfast - Lilac Hollow Cottage. The Lilac Hollow Cottage is privately owned and you are considered a guest. Please treat the unit as if it were your own.

Accidents may occur and thus we must ask that you accept responsibility for any loss, damage, missing items, outstanding bills or excessive cleaning during your stay, however caused. A minimum charge of $75 will be made for any missing items or excessive cleaning in the Lilac Hollow Cottage.

The unit will be thoroughly inspected upon check out. Pending any loss, theft or excessive cleaning, the credit card on the form below will be charged. Guests have the right to inspect the unit on arrival and report any existing damage or problems to us immediately at 250-423-3091.

We want our guests to enjoy themselves and to return to Fernie. For the enjoyment of and in courtesy to others, we do not tolerate excessive noise. Quite time is from 10:00 pm – 8:00 am. In the event of excessive noise complaints we reserve the right to evict with no refund and charge the offending party any loss of revenue incurred due to the noise.

Please fill in the following form and fax it to the Old Nurses Residence Bed and Breakfast

Lilac Hollow Cottage - Damage Waiver at 1-514-370-9721 (Our efax #) or mail it or present it on arrival. If you have any questions please call us at 250-423-3091.

Thank you again and we hope that you enjoy your mountain holiday.

Full Name (as it appears on the credit card) ___________________________________________________

Mail Address ____________________________________________________________________________

____________________________________________________________________________

Numbers: Phone ______________________________________ Fax ____________________________

Email address ________________________________________________________________________

Credit Card Number ________________________________Exp. _____/_____ SIC: __________

(Visa or MasterCard only please)

If there is any loss, theft, damage and/or excessive cleaning to the rental unit during my stay, I hereby authorize all cost to be assessed to aforementioned credit card in consideration of Old Nurses Residence Bed and Breakfast and any member of my party to rent/use property or equipment (i.e. hot tub). I agree that the use of this property is at my own risk and agree to be responsible for any injuries or damages caused when using this property during my stay including all members of my party.

Signature _______________________________________________ Date ________________________

Print Name _______________________________________________________

Name on reservation ______________________________________________

Arrival Date __________________ Arrival Time: __________ Departure Date __________________

Please fax the completed form to at 1-514-370-9721 (Our efax #) or mail to

Old Nurses Residence Bed and Breakfast, Box 2847, Fernie, B.C., Canada, V0B 1M0

Phone: 250-423-3091 Email: pburke@oldnurse.com Website: www.oldnurse.com

Old Nurses Residence Bed and Breakfast

Lilac Hollow Cottage - Damage Waiver Form

Guest Names and Addresses (This will help in case of emergency) :

Name: _______________________________________________________________________

Address: _______________________________________________________________________