Items in red are required. Failure to fill out the Required fields could result in delays getting back to you and possibly, you missing out on your reservation altogether. The more information you fill out correctly, the faster we can get back to you and confirm your stay.
Cardholder Name:
Billing Address:
( Home address / city / state / zip )
Home Phone:
Work Phone:
Cell Phone:
E-mail Address ( Required )
Drivers License Number:
Auto License:
Date Arrive:
Date Depart:
Number of Nights:
Number of Guests  
Guests Under 21:
Credit card last 4 numbers only:
Message, Questions, etc.
We accept Visa & MasterCard only.

Please look at all our web pages, photos, maps and details. Read our policy concerning rates, refunds and cancellations.  If you have questions, please call us before signing . If you do not arrive for the dates you have reserved, you will be charged anyway.

Guest Rules, Policies, and Liabilities Agreement: I acknowledge and agree:

The deposit, balance, and any damages will be charged to the same credit card.

That it is a crime if I misrepresent the number of members in my party.
There will be a $50 charge per night for each guest that is over the stated amount.

That I have seen, read and understand the rules, policies, maps, limits and boundaries of facility.

That all guest under 21 years of age are accompanied by a parent or legal guardian ( 25 years for Cedar Lodge ).

That upon arrival, I will report to manager any condition of the premises that are not clean, well maintained or safe.

That I alone accept responsibility for the conduct and safety of all members of my party.

That I will pay for any and all damages to premises caused by myself and members of my party.

That I will pay for any items found to be damaged or missing from premise after my departure.

That the premises are privately owned and the owner has the right to refuse service to anyone.

For the Cedar Lodge, no wedding parties, prom, or graduation parties or other celebration where you have more invited guests that would exceed the capacity for the lodge.

That the owner of premises shall not be held responsible or liable for any damages, loss, theft, or any injury to, or death of, guest or any other persons, or to their property from whatever cause arising from occupancy or use of premises by guest or any other persons and quest agrees to indemnify, defend, and hold harmless the owner there from.

With my online signature here, I make it known that I have read all of the rules, policies, and liabilities agreement and I fully agree and acknowledge the agreement.

Online Signature: (Type Name)
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Cypress Banks Cabins
2560 S US HWY 83, Leakey, TX 78873
713-825-7298 Phone or Text
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