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*Have you stayed at Quantum House in the past?:
Patient Information
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*Gender:
Guest Information
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*Will you have a vehicle kept on Quantum House's campus?:
Additional guest information
The room has one king bed and one twin. There is a four-person maximum in each guest room. All guests must have a valid photo identification card available upon check in.
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Quantum House Guest Stay Agreement
*Have you ever been convicted of a felony?:

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