Bedrooms: 3, Sleeps 6, Bathrooms: 2

Check in: 3:00PM

Check out: 11:00AM

 

REGISTRATION FORM

Please print in blue or black ink, sign and Return one (1) copy of this registration sheet to:    

       Rockway Beach Getaway, 215 Liberty Street, Santa Cruz, CA 95060-6514 or

FAX to 1-831-420-1782


Date In ___________ (Check In after 3pm)                 

Date Out ___________ (Check out before 11 am)     Total # of nights ________


Legally Responsible Party Over 21 _______________________________________________________________________

Permanent Address _______________________________________________________________________


City____________________ State ___________________ Zip ____________________


Home Telephone (_____) ______________Cell Phone (______) ___________________


Passport #______________________________ Country _________________________


Drivers License: _________________________ State ____________________________


Email address __________________________________________________________


Guest # 2 ___________________________     Guest # 5 _____________________


Guest # 3 ___________________________     Guest # 6 _____________________


Guest # 4 ___________________________

 

Automobiles of ALL guests:

License ________________ State_________________ Make ________________


License ________________ State_________________ Make  _______________


** I have reviewed and agree to follow all the policies of Rockaway Beach Getaway **


Signed:________________________________________________________________

 

 

Claudia
Email: 
rockawaybeachgetaway@gmail.com