Test Reservation Form
Last
First
Address *
Address
City
State/Province
Zip/Postal
Country
As vacancy permits, lay leaders may request retreat reservations upon the recommendation of their pastor.
Please be aware “immediate family” includes children 18 years of age and under, residing at home. Otherwise, additional charges apply.
Estimated Time of Arrival
:
I would like to access counselling services while on site
To assist in determining your eligibility for a retreat subsidy, please check all of the following that apply: *
In the event all of the conditions are met, you may request a subsidy ($40.00/night) be applied to your retreat costs.
Subsidy Confirmation *