Reservations | Ronald McDonald House

If you have not previously stayed at Ronald McDonald House Charities of Norfolk you must be referred to the House by an appropriate professional at the medical facility where your child will be treated. Online reservations will not be processed if you do not have the referral.

Section One: FAMILY INFORMATION

Parent First and Last Name
Home Address
City
State
ZIP CODE
Email Address
Home Phone Number
Cell Phone Number

Section Two: CHILD'S INFORMATION

Child First and Last Name
Child's Date of BirthFormat 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
Departure Date
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 (757) 627-5386

Verification

Please enter any two digits with no spaces (Example: 12)*