PLEASE NOTE: We are working to solve occasional issues with this registration page. Please be sure to complete all applicable fields and click on the SEND button at the bottom of the page.

We acknowledge receipt of registrations by email within 24 hours of your submission. If you have not received an acknowledgment, please write to info [at] klezkanada [dot] org or call (514) 489-9014 to confirm your registration. Thanks!

First Name (required)

Last Name (required)

Email Address (required)

Please re-enter your email address (required)

Full Address (required)

Primary Phone Number (required)

Cell Phone Number

Emergency Contact Name and Number (required)

Total Attending (required):

List of Registrants (required):

Please provide full names for each registrant and ages for any registrant under 17

Please check if you wish to register:  KlezKanada Poetry Retreat

Accommodations (required):

Prices are per person. For accommodation details, please refer to descriptions at the top of the page.

Travel Plans:

Please let us know how you will be arriving

Flight Details:

If you are flying into Trudeau and meeting one of our shuttles, we need your Airline, Flight Number, and Arrival time

Shuttle Service TO KlezKanada (required):

Will you need a shuttle from Montreal to Camp B'nai Brith? $30 per person.

Shuttle Service FROM KlezKanada (required):

Will you need a shuttle from Camp B'nai Brith to Montreal? $30 per person.

Dietary Requirements (check all that apply) (required):

 None Vegetarian Vegan Lactose Intolerant Gluten Intolerant Other

Are there any other medical problems that we should be aware of?

Total Payment (required):

Method of Payment (required):

We will contact you to arrange payment.

 Cheque (please mail) Credit Card (please contact us - see sidebar for contact details)