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