Please make sure that you fill out all fields that apply.
Family Member or Roomate Staying with you:
Name of Emergency Contact:
Emergency Contact Phone Number:
If you have any mobility and/or other special needs please specify below :
Not in Hotel: $40 for Members, $50 for Non-Members
In Hotel: $50 for Members, $60 for Non-Members
Please make checks payable to the Saskatchewan Brain Injury Association and mail to:
Saskatchewan Brain Injury Association
P.O. Box 3843
Regina, SK S4P 3Y3
Pay online by clicking the Donate button and indicate "Spring Retreat registration" in the comments section.