Reservations To request a Reservation, please complete the following form and our Reservation Deoartment will verify the dates available, and contact you to confirm the Reservation. Date of Arrival AVAILABILITY Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2005 2006 2007 2008 2009 2010 Date of Departure AVAILABILITY Month January February March April May June July August September October November December Day 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 2005 2006 2007 2008 2009 2010 Number of Guests Please Select 1 2 3 4 5 6 7 8 9 10 Number of Vehicles Please Select 1 2 3 4 Name & Age of Guests Number of Beds Needed Please Select 1 2 3 4 5 6 7 8 9 10 Number of Surfers Please Select 1 2 3 4 5 6 7 8 9 10 Number of Surfboards Please Select 1 2 3 4 5 6 7 8 9 10 Are there other homes being rented. Please Select Yes No If yes, how many homes and guests(Other than you and your guests) in party? Number of Homes 1 Other Home 2 Other Homes 3 Other Homes 4 Other Homes 5 Other Homes 6 Other Homes 7 Other Homes 8 Other Homes 9 Other Homes 10 Other Homes +10 Other Homes Number of Other Guests With 1 Other Guests With 2 Other Guests With 3 Other Guests With 4 Other Guests With 5 Other Guests With 6 Other Guests With 7 Other Guests With 8 Other Guests With 9 Other Guests With 10 Other Guests With 11 Other Guests With 12 Other Guests With 13 Other Guests With 14 Other Guests With 15 Other Guests With 16 Other Guests With 17 Other Guests With 18 Other Guests With 19 Other Guests With 20 Other Guests With OVER 20 Other Guests What is the occassion for this visit to Las Gaviotas? Have you ever visited Las Gaviotas before? Please Select Yes No Have you or your guests ever received a 'fine'? Please Select Yes No     Your Name Email Phone Number Fax Number Mailing Address Street Address City State------------Zip Code ---- Special Instructions (if any)