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, February 05, 2010
      Saturday, February 06, 2010
      Sunday, February 07, 2010
      Monday, February 08, 2010
      Tuesday, February 09, 2010
      Wednesday, February 10, 2010
      Thursday, February 11, 2010
      Friday, February 12, 2010 (unavailable)
      Saturday, February 13, 2010 (unavailable)
      Sunday, February 14, 2010
      Monday, February 15, 2010
      Tuesday, February 16, 2010
      Wednesday, February 17, 2010
      Thursday, February 18, 2010
      Friday, February 19, 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: