Reservation Request Form

Select the group category you are associated with: Conference/Retreat Family Reunion Wedding Silver Bay Family Conference Silver Bay Emp Reunion Other
Name of the group:
Member of Silver Bay? Yes No
Your Name:	Mr. Ms. Mr. and Mrs. Dr.
Address:
Town/City:
State:
Zip:
Daytime Phone:
Fax:
Email:
Preferred method of contact:	Phone Fax Email
Number of rooms needed:
Type of Room: Private Bath Central Bath Cottage
Name of accommodations (if you know): Inn Bayview Spengler Brookside Community Trinity Hemlock Hepbron Locust Overlook Paine Hall Spruce Mountain Lodge Cottage Boltz Cottage Brightwood Cottage Butternut Cottage Cedar Cottage Cherry Cottage Charter Oak Cottage Elm Cottage Hartford Cottage Hickory Cottage Hillcrest Cottage Juniper Cottage Laurel Cottage Nassau Cottage Pine Cottage Spruce Cottage Summit Cottage Sycamore Cottage Walnut Cottage Willow Cottage
Additional comments:
Number of Adults: 1 2 3 4
Number of Children ages 6 - 17: 0 1 2 3 4
Number of Children ages 5 and under: 0 1 2 3 4
List all adult names:
List children and ages:
Crib: Yes No
Dates Requested
From:	Day: 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month: 01 02 03 04 05 06 07 08 09 10 11 12 Year: 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
To:	Day: 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Month: 01 02 03 04 05 06 07 08 09 10 11 12 Year: 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020
Wheelchair-accessible room Yes No
Handicap-equipped Yes No
Are you a first-timer at Silver Bay? Yes No
If this is your first time, where did you hear about Silver Bay?
The Guest Services team will endeavor to fulfill your request or offer a similar accommodation.
	By making this reservation or purchasing this membership, the holder understands and agrees that Silver Bay YMCA of the Adirondacks may use photographs of the holder and all those listed on the reservation or membership form for marketing purposes without further release.
Cancellation Policy: Within 30 days of arrival, forfeit of deposit Within 60 days of arrival, 50% of deposit Within 90 days of arrival, full refund of deposit