Boreal Ecology Center - Lodge Rental Request
Contact Information
Group Name
Contact First Name
Contact Last Name
Contact Street Address
City
Province/Territory
Please select...
BC
AB
SK
MB
ON
QC
NB
NS
PEI
NL
YT
NT
NU
Postal Code
Contact Email
Contact Phone Number
Phone Type
Landline
Mobile
Would you like to be added to A Rocha Manitoba's mailing list for updates, news, events, and volunteer opportunities?
Rental Request
Group Type
Please select...
Church
Community
Family
Other
Other (please specify)
Rental type
Day use only
Overnight rental
Daytime Rental Request
Rental Date
Number of people in group (includes children)
Please select...
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Overnight Rental Request
Arrival Date
Departure Date
Number of nights
Note:
Number of people in group (includes children)
Please select...
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
Cost Calculations
Daytime Rental (8hr) - $150
Overnight rental (#/nights x $300)
Cleaning fee - $100
Note: Once your rental period has been confirmed, a non-refundable $50 deposit will be due - the remaining cost is payable upon invoicing.
Total
Confirmation and Signature
Typing your full legal name in the space provided acts as your signature, confirming that:
the above is correct
you have read and understand the
Rental Agreement
(found on our website), and
you have read and understand the
Boreal Ecology Center Creation Care Guidelines
(found on our website)
Signature (type your legal name)
Contact Information