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:

      Tuesday, January 19, 2010
      Wednesday, January 20, 2010
      Thursday, January 21, 2010
      Friday, January 22, 2010 (unavailable)
      Saturday, January 23, 2010 (unavailable)
      Sunday, January 24, 2010
      Monday, January 25, 2010
      Tuesday, January 26, 2010
      Wednesday, January 27, 2010
      Thursday, January 28, 2010
      Friday, January 29, 2010
      Saturday, January 30, 2010
      Sunday, January 31, 2010
      Monday, February 01, 2010
      Tuesday, February 02, 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: