Name on reservation
*
First Name
Last Name
Accompanying party
*
First Name
Last Name
Arrival Date
*
MM
DD
YYYY
Your current address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Mobile phone
*
(###)
###
####
Email
*
In support of State and County guidelines, we ask that you affirm each of the following questions.
*
Members of my party who ARE NOT fully vaccinated against COVID:
*
What is the color and make of your car?
*
Which nights will you be attending wine hour?
*
How would you like to settle the balance of your charges?
*
By submitting this SelfCheck form, I acknowledge that this property is privately owned and the management reserves the right to refuse service to anyone. Additionally, I acknowledge that management is not responsible for guests’ accidents, injuries, or loss of property, including theft or damage to vehicles parked on the property, while staying at the Brewery Gulch Inn and that I will be required to pay for any damage caused by me or members of my party during our stay. Furthermore, I acknowledge that this is a non-smoking facility, that smoking is not permitted within 25’ of the structure (including decks or balconies) and that I will be required to pay for any smoke damage caused by my failure or that of members of my party to refrain from smoking.
Would you like daily maid service during your stay?
*
No, thanks!
Yes, please!
