Circle Square Ranch Youth Retreat 2025

Circle Square Ranch Youth Retreat 2025
Choose Life Niagara is holding our annual Youth Retreat for high school students at the Circle Square Ranch in Brantford from Friday night, Nov. 7 - Saturday night, Nov. 8, 2025. The cost is $65, which includes bus transportation, snacks, breakfast-lunch-dinner on Saturday, overnight accommodation, and educational sessions. Ranch recreational activities are also included.

Registration will be capped at 75 participants and will be given on a first come, first serve basis. To guarantee your spot, complete the following as soon as you can:

1.) Complete and submit this online form.
2.) If you are participating in horseback riding, complete the Horsemanship Waiver.
3.) Once we confirm your registration, please e-transfer your payment of $65 to info@chooselife.ca or bring cash/cheque payment to our office at 1 Belton Blvd, Unit 102, St. Catharines to confirm your reservation.

Note: We will be leaving from the Vineland Car Park at 5:45 p.m. on Friday night, November 7 and arriving back at the car park at approximately 9:00 p.m. the following day, November 8. For more information, call (905) 684-7505 or visit our events page at chooselife.ca/events.
Name*

First NameLast Name
Age*
Gender*
Parent Phone Number*
Student Cell Number (if you don't have one, enter 'none'.)*
Email Address*
Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Health Card Number*
Dietary Restrictions
Roommate Request (4 people per room)
School Name and Grade
Church
Transportation

I will be taking the bus from Vineland Carpool.I will have my own ride to the Circle Square Ranch in Brantford.
Horseback Riding

Yes, I would like to take part in Horseback Riding. (If you choose this option, we will confirm if there is still room in the riding program. If there is, don't forget to fill in your Horsemanship Waiver, linked above.)No, I would not like to take part in Horseback Riding.
Questions or comments
Social Media Release
Please check the boxes regarding your preference.

I authorize Choose Life to take group photos of me.I give permission for group pictures taken of me at the Youth Retreat to be used by Choose Life Niagara to report on this event and promote future youth events in their newsletters, social media or website.
Parental Permission Form

A parent/guardian must fill in the following for all students under the age of 18.
Please check the following boxes that apply:

I give permission for my child to participate in the Youth Retreat at the Circle Square Ranch from Nov. 7-8, 2025. I hereby release Choose Life Niagara and its Directors from any liability, claims or damages which may arise from the trip.I would like to receive Choose Life's newsletter and e-blasts (used sparingly) for information on upcoming youth events.
Parent/Guardian Name

First NameLast Name
Parent/Guardian Signature

Clear
Date Signed

MonthDayYear
Date
Should be Empty:

Circle Square Ranch Youth Retreat 2025

Social Media Release

Parental Permission Form