Be Our Guest

Please fill out the information below to become a guest at Ronald McDonald House Charities (RMHC) of Northwest Ohio. Once this is complete, a staff member at RMHC will reach out to you to schedule your stay.

Date Room Needed *

Hospital/Medical Facility *

Guardian 1- Legal Name *

First

Last

Guardian 1 - Relationship To Patient *

Guardian 1 - Date of Birth *

Guardian 1 - Address *

Guardian 1 - City/State/Zip *

Guardian 1 - County *

Guardian 1 - Email *

Guardian 1 - Phone Number *

Guardian 2 - Legal Name

First

Last

Guardian 2 - Relationship To Patient

Guardian 2 - Date of Birth

Guardian 2 - Address

Guardian 2 - City/State/Zip

Guardian 2 - County

Guardian 2 - Email

Guardian 2 - Phone Number

Additional Guests - Under The Age Of 18

Please list legal name (First, MI, Last), date of birth, and relationship to patient

Additional Guests - Over The Age Of 18

Please list legal name (First, MI, Last), date of birth, and relationship to patient

Be Our Guest

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