Individual Retreat Registration

Form type Individual Retreat Registration (IR)

Form #

Quote this number when you pay — how to pay.

For an individual booking a private retreat in one of our rooms or venues.

Room rates: $50 per night Monday–Thursday · $75 per night Friday–Sunday.

Questions? Call (608) 356-8113.

Guest

Guest name

Today's date

Guest email

Guest phone number

Mailing Address

Billing address — street

City

State

ZIP

Rates and Discounts

Is this a non-profit? Yes No

CES # (non-profits only) If you are a non-profit, give your CES number and we will send a certificate.

Nights Monday–Thursday ($50 per night)

Nights Friday–Sunday ($75 per night)

Are you a Guardian of the Glen? Yes No Supporter and Champion Guardians receive a 10% or 20% discount, applied by the office.

Please notify me of future events

Your Stay

Day rental or overnight stay Day Overnight

Requested check-in date

Requested check-in time

Requested check-out date

Requested check-out time

Venue Spaces

Which room or space would you like? See the property maps and building layouts — a site map and floor plans covering every space listed below. Printed copies show the link as a web address.

East Wing Room

Log Lodge Room

South Wing Room

South Wing Lounge & Kitchen

Museum / Library

Common Areas (Fireplace Room, Boardroom, SW Lounge)

Durward's Main Building (East Wing, Log Lodge, South Wing & all common areas)

Entire Durward's Property (Main Building, Artist's Cottage, Hermitage)

Anything Else

Anything else we should know?

Required fields marked *

Other ways to use this form

💳 Already registered? Pay online

"Print my filled copy" prints what you've typed so far so you can sign it and mail it in instead of submitting digitally.