REGISTRATION FORM


* designates required field
* retreat:

* name: (this name will appear on the invoice)


* address: (this address will appear on the invoice)


* e-mail:     * phone:

Please list the name(s) of anyone else you'd like to register (if applicable).


# in shared lodging:     # in single lodging:

* dietary restrictions or requests: (please enter "none", if necessary, so we can be sure this field was noticed)


Is there anything else you would like us to know?




  OUR ADDRESS
Kingfisher Bay Retreat
150 Fraser Estates Lane
North Kawartha, ON K0L 2H0
CONTACT US
705.772.7273
info@kingfisherbay.ca
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