Lauramoore House Reservation Form : Earlham School of Religion

Home : Community Resources : Lauramoore House : Lauramoore House Reservation Form

Lauramoore House Reservation Form

Please use the form below to reserve a room at Lauramoore House. Learn more about accommodations and rates here.

Name*
First Last
Name(s) of any additional guests
Please provide the first and last name of any guest(s) who plan to stay in the same room with you and how many nights they plan on staying in the room. If the guest(s) requests a room of their own, please fill out an additional reservation form.
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email*
Phone*
Please provide a mobile phone number so that the Lauramoore House Resident Host can contact you with instructions on how you will enter the house.
Fee type*
- Active ESR Student or Active ESR Student Family
- ESR Prospective Student or ESR Prospective Student Family
- ESR or Earlham College Guest
- ESR Alum
Number of nights*
Please enter a number from 1 to 30.
How many nights do you plan on staying at Lauramoore?
Number of rooms requested
Please enter a number from 1 to 10.
Arrival date*
MM slash DD slash YYYY
Estimated time of arrival*

: Hours

Minutes

AM/PM
Departure date*
MM slash DD slash YYYY
Special request

First floor room, private bathroom, etc.
Reason for stay*