1645 Colborne St. E, Brantford, ON, N3T 5L4

Phone: (519)754-0171

retreats@csranch.ca - www.csranchgrandriver.ca

Retreat Information Form

Please complete the following form to start the booking process for your retreat. If the dates you have requested are not available the Retreat Director will contact you to discuss alternate dates.
This form and a $500 deposit are necessary to reserve your retreat. Your retreat will not be considered booked until you have received your retreat contract.

Name of Group *

Type of Group *

Contact Name *

Phone Number *

E-mail Address *

Phone Number of On-Site Contact (If different than above)

Contact Address *

Address Line 2

Approximate Number of participants
(min of 50 people required to book Jackson Hall)
(min of 20 people required to book the Lodge or Cabins)

*

Requested Retreat Dates *

Requested Second Option Retreat Dates *

Spring and Summer Weekend Availability

Friday April 12th - Sunday April 14th 2024 - Jackson Hall is available

Friday April 19th - Sunday April 21st 2024 - Jackson Hall is available

Friday April 26th - Sunday April 28th 2024 - Jackson Hall is available

Friday May 10th - Sunday May 12th 2024 - Jackson Hall is available

Friday June 7th - Sunday June 9th 2024 - The Lodge & Jackson Hall is available

Friday June 14th - Sunday June 16th 2024 - Jackson Hall is available

2024 Pricing

Day Prices

$75.00/person with horsemanship
$60.00/person with NO horsemanship
$30/person -- does not include meals or program

Retreat Options

Facilities *

Jackson Hall (sleeps up to 95)	The Lodge (sleeps up to 36)	Cabins (4 cabins sleep up to 24 each - not available May & June)
Day Visit only

Length of Stay *

Day Only

1 Night

Full Weekend

Other Other

Program *

No Activities

Up to 4 Recreational Activities

Horsemanship + up to 3 Recreational Activities

Standard Check-In/Check-Out Times

Weekend: Mid-Week

Check-In: 5pm or later Check-In: 9am or later

Check-Out: Before 1pm Check-Out: Before 4pm

If your group requires Check-In/Check-Out times that are different from our standard times please indicate your prefer times below.

Requested Arrival Time

Requested Departure Time

Retreat Deposit

Please indicate your preferred method of payment for the $500 retreat deposit. Please note that your credit card will only be processed if your requested weekend is available. The Retreat Coordinator will process the deposit once your information form has been reviewed and the date confirmed. *

Credit Card

Cheque

E-transfer

E-transfer Information: Send e-transfer to grandrivereft@csranch.ca, including your group's name in the message section.

Credit Card Payment Information

Name on Card

Credit Card Type

Credit Card Number

Expiration Date (mm/yy)

CVC

Name of Cardholder

Address

Jackson Hall Groups Only

We will require a second deposit of $750.00 three months prior to you retreat.

Would you like us to use the credit card number provided to process the second deposit as well?

Yes

No

Signature

clear

Date * +

Next Steps in the Booking Process

Once we have processed your information form and arranged deposit payment, we will send
you a retreat contract. Depending on your package choices, you will receive the following
information (as it applies to your retreat):

- General Information Package for your guests
- Menu Options and/or Allergies and Dietary Restrictions Form
- Program Request Form
- Horsemanship Waiver
- Hold Harmless Form and Insurance Information