Lincoln West Optimist Club

LWOC - Reserve Lodge

Dick Van Horn Lodge Reservation Request Form

Complete and submit this form to request a reservation for the lodge. 
Be certain to provide contact information. 
We are unable to send a reply directly to you through this form!
**all fields are required**

Branched Oak Lake, Nebraska State Recreation Area
Lincoln West Optimist Club Facility
12000 West Branched Oak Road
Malcolm, NE 68428

Organization/Group Name: *
Purpose of the Event: *
Date(s) you are requesting facility: *
Check-in Time: *
Check-out Time: *
Number of Attendees: *
Contact Person Information This person is resposible for damages.
Contact Name: *
Contact Phone Number: *
Contact Email: *
 Has this organization/group previously used this facility?  YesNo
Do you require the use of the picnic shelter and expanded camping area?   YesNo

Website Builder