Name of Church/Organization:
Address:
City, State, Zip:
Contact Person:
Telephone:
E-Mail:
Confirm E-Mail:
How did you hear about Buffalo Ridge?
Beginning Retreat Date:
Ending Retreat Date:
Approximate Arrival Time:
Approximate Departure Time:
How many vehicles?
Overnight Facilities Required For:
Women
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Men
0
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
Couples
0
1
2
3
4
5
Please indicate any special diets or medical conditions that we should be aware of
Date of First Meal:
Type of Meal:
Choose one . . .
Breakfast ($5)
Lunch ($7)
Dinner ($9)
Time Served:
Menu Options:
Choose one . . .
Breakfast: Continental (ceral, breakfast bread, fruit, yogurt, juice, coffee)
Breakfast: Full (egg casserole, sausage, french toast, fruit, juice, coffee)
Lunch: Sandwiches (deli meat, cheese, chips, salad, condiments, iced tea, dessert, coffee)
Lunch: Soup & Salad (two soups, two salads, hot bread, iced tea, dessert, coffee)
Lunch: Chicken Pot Pie (homemade chicken pot pie, salad, biscuits, salad, iced tea, dessert, coffee)
Lunch: Taco Salad (taco salad, iced tea, dessert, coffee)
Dinner: Bison BBQ Meatballs (meatballs, baked chicken, potato casserole, vegetable, salad, hot bread, tea, dessert, coffee)
Dinner: Bison Swedish Meatballs (meatballs, baked chicken, rice, broccoli casserole, salad, hot bread, tea, dessert, coffee)
Dinner: Lasagne (lasagne, salad, garlic bread, iced tea, dessert, coffee)
Dinner: Enchiladas (enchiladas, mexican rice, black beans, fruit salad, iced tea, dessert, coffee)
Date of Second Meal:
Type of Meal:
Choose one . . .
Breakfast ($5)
Lunch ($7)
Dinner ($9)
Time Served:
Menu Options:
Choose one . . .
Breakfast: Continental (ceral, breakfast bread, fruit, yogurt, juice, coffee)
Breakfast: Full (egg casserole, sausage, french toast, fruit, juice, coffee)
Lunch: Sandwiches (deli meat, cheese, chips, salad, condiments, iced tea, dessert, coffee)
Lunch: Soup & Salad (two soups, two salads, hot bread, iced tea, dessert, coffee)
Lunch: Chicken Pot Pie (homemade chicken pot pie, salad, biscuits, salad, iced tea, dessert, coffee)
Lunch: Taco Salad (taco salad, iced tea, dessert, coffee)
Dinner: Bison BBQ Meatballs (meatballs, baked chicken, potato casserole, vegetable, salad, hot bread, tea, dessert, coffee)
Dinner: Bison Swedish Meatballs (meatballs, baked chicken, rice, broccoli casserole, salad, hot bread, tea, dessert, coffee)
Dinner: Lasagne (lasagne, salad, garlic bread, iced tea, dessert, coffee)
Dinner: Enchiladas (enchiladas, mexican rice, black beans, fruit salad, iced tea, dessert, coffee)
Date of Third Meal:
Type of Meal:
Choose one . . .
Breakfast ($5)
Lunch ($7)
Dinner ($9)
Time Served:
Menu Options:
Choose one . . .
Breakfast: Continental (ceral, breakfast bread, fruit, yogurt, juice, coffee)
Breakfast: Full (egg casserole, sausage, french toast, fruit, juice, coffee)
Lunch: Sandwiches (deli meat, cheese, chips, salad, condiments, iced tea, dessert, coffee)
Lunch: Soup & Salad (two soups, two salads, hot bread, iced tea, dessert, coffee)
Lunch: Chicken Pot Pie (homemade chicken pot pie, salad, biscuits, salad, iced tea, dessert, coffee)
Lunch: Taco Salad (taco salad, iced tea, dessert, coffee)
Dinner: Bison BBQ Meatballs (meatballs, baked chicken, potato casserole, vegetable, salad, hot bread, tea, dessert, coffee)
Dinner: Bison Swedish Meatballs (meatballs, baked chicken, rice, broccoli casserole, salad, hot bread, tea, dessert, coffee)
Dinner: Lasagne (lasagne, salad, garlic bread, iced tea, dessert, coffee)
Dinner: Enchiladas (enchiladas, mexican rice, black beans, fruit salad, iced tea, dessert, coffee)
Date of Fourth Meal:
Type of Meal:
Choose one . . .
Breakfast ($5)
Lunch ($7)
Dinner ($9)
Time Served:
Menu Options:
Choose one . . .
Breakfast: Continental (ceral, breakfast bread, fruit, yogurt, juice, coffee)
Breakfast: Full (egg casserole, sausage, french toast, fruit, juice, coffee)
Lunch: Sandwiches (deli meat, cheese, chips, salad, condiments, iced tea, dessert, coffee)
Lunch: Soup & Salad (two soups, two salads, hot bread, iced tea, dessert, coffee)
Lunch: Chicken Pot Pie (homemade chicken pot pie, salad, biscuits, salad, iced tea, dessert, coffee)
Lunch: Taco Salad (taco salad, iced tea, dessert, coffee)
Dinner: Bison BBQ Meatballs (meatballs, baked chicken, potato casserole, vegetable, salad, hot bread, tea, dessert, coffee)
Dinner: Bison Swedish Meatballs (meatballs, baked chicken, rice, broccoli casserole, salad, hot bread, tea, dessert, coffee)
Dinner: Lasagne (lasagne, salad, garlic bread, iced tea, dessert, coffee)
Dinner: Enchiladas (enchiladas, mexican rice, black beans, fruit salad, iced tea, dessert, coffee)
Comments:
Would you like to use the Fireside Room?
Do you want tables (round) and chairs set up in the Fireside Room?
Do you need to use the VCR/DVD player?
Would you like to use the picnic area?
Would you like a wagon ride around the property? (weather permitting)
If yes, Date of wagon ride:
Time of wagon ride:
General Policies:
• A $50 non-refundable deposit is required to reserve retreat
dates. (Make checks payable to His Way Ministries.)
• Payment in full is due two weeks before your retreat. You will be billed.
• If cancellation is necessary, please do so at least three weeks prior
to the retreat.
• No refunds will be given for retreat participants who cancel after payment has been received.
• Please allow us around 10 minutes to introduce ourselves and our facility.
• All meals will be provided by Buffalo Ridge staff. You may bring your
own snacks.
• No smoking in any of the facilities.
• No pets please.
Overnight Group Retreat Rates:
$25 per individual, per night
$45 per couple, per night
Breakfast - $5 per person
Lunch - $7 per person
Dinner - $9 per person
We accept checks, MasterCard, Visa, and Discover.
After submitting this form, you will be contacted by our office to confirm
your retreat dates and to give you a total cost.