Registration Form

Name(s):
Email Address:
Address:
Telphone:
Room Selection:
Dates of Arrival and Departure:
Estimated Time of Arrival:
Special Occasion: (Birthday, Anniversary)
Other Special Services: (Flowers,Candy,Cake)
Breakfast Selection (Day 1):
Breakfast Selection (Day 2):
Dinner Selection:
Any Food Allergies:
Any Allergies to Animals:
Any Physical Limitations:   
(Climbing Stairs)
Method of payment (cash, check, travelers check)
Particular Items of Interest: (Tours, Sightseeing):
Person(s) to contact in case of emergency:

Scents of Cedar is a Non-Smoking B&B
We Accommodate Smoking Outdoors Only