First Name: __________ Last Name:____________________________

City: _____________State: ____   Zip Code: _______ Country: _____

Phone Number: ____________________E-mail___________________

Click Here to View Hostel Grounds Map
Lodging Requested: Add 8.5% tax to all rates
Dorms, Teepees, Wagons are all the same price

Female Dorm___Male Dorm___Private Teepee___Covered Wagon___

Dates Requested: (check in)__________to_________(check out date) Total Nights________

Total # of Adults___________Total # of Children_____________

Members: $17 Adults, Children 17 yrs & under 1/2 price, under 1 yr free
Non-Members: $20 Adults, Children 12 yrs & under 1/2 price, under 1 yr free

Hostel Private Room: Cloud 9 Suite (one queen, twin, twin hidabed)
$55 mem_____or $65 non-mem______  Twin beds ($10extra)______

Lavender Duck: (4 bedrooms, 4 baths, $80 per room)
White rm____ Green Rm____ Pink Rm____ Yellow Rm____

Camp Sight ($11/person, children 12 & under 1/2 price) includes u-fix pancake breakfast
#Adult tenters______#children_______

Group (7 + people: $13 each) 
# in group________#Males_______ #Females_______
Cancellation Policy: 1st day non-refundable

AYH Members: Yes____ No____ Will join at hostel_____
Memberships Price:  $28 Adult,  Senior Citizen $25 (55yrs+)

Credit Card Required to Reserve lodging
Credit Card #____________________________________Expiration Date:____

CANCELLATION: Weekdays there is a $10 non-refundable fee if you cancel;
(you may move your reservation at no charge with a 48 hour notice)
Lavender Duck: $10 per day- per room
Weekends and holidays are non-refundable

This form for mailing or faxing
Mail to:
Manager
12119 SW Cove Road
Vashon Island, WA. 98070
or Fax to: (206) 463-6157 or call us (206) 463-2592