Climenhaga Homestead Guest Room Request

Messiah College alumni may complete this form to request a guest room in the Homestead.

First Name:
Last Name:
ID Number: (if known)
Address:
City:	State:
Zip:
Country:
Phone Number:
E-mail:
Arrival Date:	4:00 p.m.
Departure Date:	10:00 a.m.
Number of Guests:
Parking Needed:

Special Requests: Use this area to request different arrival and departure times, and other special needs.
Reason For Visit: Use this area to explain your reason of visiting(REQUIRED).