Facility:
Select Facility
Danbee, The Berkshires
Winadu, The Berkshires
Mah-Kee-Nac, The Berkshires
The Lodge at Winadu, MA
Winaukee, NH
Wicosuta, NH
Lake of the Woods, MI
Cobbossee, ME
Black Bear Lake Country Club, NJ
Lake Sawkill, The Poconos
Dan Duquette Sports Academy
Vacation Rental, Lake Winnipesaukee, NH
Name of Group:
Contact Person:
Address:
City:
State:
Zipcode:
Phone:
Fax:
Email Address: (required)
How did you hear about us?
Please Select One
Search Engine
Magazine Ad
Referral Service
Mailing
Tourism Bureau
Word of Mouth
Date:
Time:
Arrival
Month
Januay
February
March
April
May
June
July
August
September
October
November
December
Day
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31
Year
2006
2007
2008
2009
2010
2011
2012
Hour
1
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5
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12
AM
PM
Departure
Month
Januay
February
March
April
May
June
July
August
September
October
November
December
Day
1
2
3
4
5
6
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20
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22
23
24
25
26
27
28
29
30
31
Year
2006
2007
2008
2009
2010
2011
2012
Hour
1
2
3
4
5
6
7
8
9
10
11
12
AM
PM
Meals: (Breakfast, lunch and dinner typically included)
Specify any special requests, for example: hot lunches, cookouts, vegetarian, etc:
Indicate number needed
if applicable:
Evening Activities:
Campfire
?
YES
NO
Story telling
?
YES
NO
Off Campus Trips (Jacob's Pillow, Tanglewood,
others: please specify)
Daytime Activities:
Off Campus Trips (hiking, museums, points
of interest: please specify)
This form does not constitute a contract to lease any of the Lakeside Retreats. Rather,
it is an expression of interest. Lakeside Retreats reserves the right to accept or reject any group.
All final reservations will be documented in writing.