Reserve the Clearwater Guest House!

There's no obligation and no credit card needed!
Filling out this form with your desired reservation
dates allows you to get first in line for the days
of your choice.
1) Check the boxes next to the days you would like to reserve:

      Friday, January 01, 2010
      Saturday, January 02, 2010
      Sunday, January 03, 2010
      Monday, January 04, 2010
      Tuesday, January 05, 2010
      Wednesday, January 06, 2010
      Thursday, January 07, 2010
      Friday, January 08, 2010
      Saturday, January 09, 2010
      Sunday, January 10, 2010
      Monday, January 11, 2010
      Tuesday, January 12, 2010
      Wednesday, January 13, 2010

2) Fill out your personal information:

First name:


Last name:


Street Address:


City:


State:


Zip Code:


Phone number:


E-mail:



3) The next three questions allow us to
    identify your party when you stay at the house.

The number of people in
your party including children:


Vehicle Type:


Vehicle License Plate Number:



4) Your questions and comments go here.
    Please do not include your credit card
    number in your comments.

Additional Comments: