Reservation Request Form

Required fields*

    First Name*

    Last Name*

    Address Line 1*

    Address Line 2




    Home Phone*

    Alternate Phone


    Arrival date* (include date, month and year)

    Arrival time (currently between 4pm - 9pm only)

    Departure date* (include date, month and year)

    How many Adults?*

    How many Children?* (policy)

    Ages of Children

    # Rooms*

    Be sure to reserve an adequate
    number of rooms & baths for your needs. (policy)

    Allergies/Other Issues
    If Yes, please describe below:

    Payment Information

    Card Type: MCVisaDiscover

    Card Number* (enter 4 digits per box)

    Expiration Date*

    CCV Number*

    Name on Card*

    Billing Address (if different than above)

    Address 1

    Address 2




    Deposit Amount (total bill - 10% non-refundable) (policy)


    By checking this box I agree to the following terms and conditions:

    (Acceptance of Terms is required for submission of your Reservation Request.)



    You must be at least 21 years old to make a reservation. Rooms will be guaranteed only after credit card is approved and you have received confirmation.
    Old Clark Inn is authorized to charge to this credit card any applicable deposits, room costs, fees, repairs and damages.


    Check-in hours are 4 to 8 pm / Check-out is 11:00 am.
    EARLY check-in is usually available, although it will not be guaranteed.
    LATE CHECK-IN IS NOT AVAILABLE.  At 9 pm the office CLOSES  and you are considered a NO-SHOW.   Your credit card will be charged for the total amount due on the reservation.  Under NO circumstances will a first-time guest be allowed to check-in  after 9 pm, but special late check-in arrangements may be available to repeat guests.  If you are not certain you will arrive before 9 pm,, you should not make this reservation.

    Upon booking, your card will be charged the total amount of the reservation.
    10% of this amount will be NON-REFUNDABLE

    If cancelled, the following policy will be applied:

    Non-Peak Policy: 3 days minimum notice
    -For reservations of less than 4 “room nights” and during non-peak periods
    -90% refund if cancelled 3 or more days prior to start of reservation
    -50% refund if cancelled less than 3 days before start of reservation
    -NO REFUND for same day cancellations or no shows

    Peak Policy: 7 days minimum notice
    -For reservations of 4 or more “room nights” and during peak periods: holidays/holiday weekends, festivals and events; Entire week from Christmas Eve through New Years Day; Other peak occupancy times at innkeepers’ discretion
    -90% refund if cancelled 7 or more days prior to start of reservation
    -50% refund if cancelled less than 7 days before start of reservation
    -NO REFUND for same day cancellations or no shows

    All cancellations must be submitted in writing (email) and you must receive a cancellation number.
    This policy applies to all cancellations, complete or partial, including date changes, regardless of reason and regardless of whether the vacancy is filled
    A stricter policy may be required for longer-term/multiple room reservations on case by case basis
    Minimum stay requirements must be met and paid in full
    If re-booked within 30 days, a portion of the charge may be credited to the new reservation at innkeepers’ discretion. Credit will be issued at check-in. The new reservation will be subject to applicable rates and cancellation policies.


    This is a smoke free facility. Violators of the no-smoking policy will forfeit their reservation without compensation and will be charged a minimum $175 room recovery fee.

    (click here) for all policies including room assignments, rates, pets and children, quiet hours, smoking, damage and liability.