Online Reservation Request Form

Please complete / update all information and return by February 10, 2012 Please note any additional information below (i.e. alternative lodging preferences, special needs, etc.) to assist in the reservation assignments. A reservation confirmation will be sent acknowledging receipt of this form.

Name: *

Address: *

City, State, Zip: *

Class Year: *

Telephone Number: *

Email Address: *

Alumni Class Year: *

Years attended Canaras: *

Name(s) of Adults: *

Child Name & Age: *

Week Number: *

1

2

3

4

5

6

7

8

Main Lodge:

Pantry (2) - handicap

Ice House (2)

Office (2)

Back Left (2)

Back Right (2)

Spruce:

Front Left (2)

Back Left (2)

Front Right (2)

Back Right (2)

Harding:

Left (2)

Right (2)

Nepahwin:

Front Down (2) 1 double

Large Back Down (3) 1 double, 1 Single

Small Back Down (2)

Upstairs Large (3) 1 double, 1 single

Upstairs Small (2) bunk beds

Hoffman:

Front Left (2)

Back Left (2)

Front Right (2) 1 Double

Back Right (R)

Back Right (L)

Brown:

Front Left (2)

Large Right (2)

de Brun:

Left (2)

Right (2)

Birch:

Front Left (2)

Back Left (2)

Back Right (2)

Tamarack:

Left (2)

Right(2)

Jackson:

Master (2)

Upstairs Small (2)

Upstairs Large Right (2)

Form of Payment: *

Paid Online

Paid by Check

Total Paid: *