2026 Ladies Retreat

Please fill out this form and click submit.

Name

*

Email

*

This address will receive a confirmation email

Phone

*

Address

*

Please list any food allergies. We will send these to camp, they may or may not be able to accommodate requests.

DRIVING

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Please select one option.

I will be driving my own vehicle and can drive 1 additional lady I will drive my own vehicle and can drive 2-3 additional ladies I will drive my own vehicle on my own I will need a drive

If you already have a carpool set up, please list name(s)

FRIDAY PLAN

*

Please select one option.

I will meet at South Shore at 9:30am I will meet for dinner at Camp Kahquah

Emergency Contact Name

*

Emergency Contact Relation

*

Emergency Contact Phone

*

Emergency Contact Email

*

Room Type

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Please select one option.

Shared Room* Private Room

*Shared Room Roommate Request

Payment can be made online now or by cash/cheque/e-transfer

Shared Room ($195) Private Room ($295) I will pay by cash/cheque/etransfer ($0)

Amount

Credit/Debit Card Number

Expiration Date/CVC

Name on Card

Card Billing Address

Description

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