Reservation Registration for Ronald McDonald House Charities of Norfolk

Ronald McDonald House Charities of Norfolk, Inc
404 Colley Avenue, Norfolk, Virginia 23507 phone (757) 627-5386 fax (757) 622-0534

Online Reservation Request

Section One: FAMILY INFORMATION
Parent First and Last Name
Home Address
City
STATE
ZIP CODE
Email Address
Home Phone Number
Section Two: CHILD'S INFORMATION
Child First and Last Name
Child's Date of Birth	Format mm/dd/yyyy
Child's Gender
Section Three: INFORMATION ON CHILD'S CONDITION AND CARE GIVING FACILITY
Child's Diagnosis
Physician's Name
Medical Facility
Section Four: RESERVATION INFORMATION
Arrival Date Requested
	Month	Day	Year
Departure Date:
	Month	Day	Year
Total Number of Guests
Relationship to Patient
Submitting Reservation Request
By submitting this request for a reservation at Ronald McDonald House of Norfolk, Virginia you signify that you have read and understand the Statement of House Policies (left panel). If we have no contacted you within 3 days, please call us at (757) 627-5386

Information

Interactive Areas

Donate

Online Registration

.return to the main page

Statement of House Policies

1. Confirmation
Policy

All guests shall confirm their registration two (2) days prior to their scheduled arrival date. Failure to confirm will void your registration, and the room will be given to another family.

2. Minor Policy

No minors (under age 18) are allowed to stay at our House without being accompanied by a parent or legal guardian

Click here for entire
list of policies.

last update: 11/07/07