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.


13-16 years old deduct per child $75, 12 years and under deduct per child $100, Under 5 years no charge

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)


  • Accomodation Prices and Payment


    If you wish to pay by credit card, please note that on your registration form and call Sandy at 514-489-9014 (or fax 514-489-0260) to arrange payment.

    Cheques should be made out to KlezKanada and mailed to:
    5589 Queen Mary Road,
    Montreal, Quebec, H3X 1W6

    Accommodation Details

    Prices are per person and include accommodation (except off-site), meals, all programming, and tips.

    Retreat Centre (2 per room) $1195
    Chef's House (2 per room, private bathroom) $1145
    Chef's house (2 per room, shared bathroom) $1090
    Residence (2 per room) $1090
    Residence (4 per room) $980
    Cabins and Tents $850 (Family Rates available in cabins)
    Off-site $870

    Cancellation Policy

    Cancellations before July 15th will receive a full refund minus $25 administration fee. Cancellations after July 15th forfeit the $100 deposit. No refunds for non-arrivals, late-arrivals, or early departures.