Dragonfly Lodge Rental Application

Applicant’s Name

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Applicant’s Address

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Phone Number (daytime)

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Phone Number (evening)       

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Total # of adults and children

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• Check-in time is 4pm
• Check-out time is 11am:

Cottage Rentals are not available from May 1st to September 30th

Rates

$125/day or $750/week (2 night minimum stay)

Payment

Money Order/Certified Cheque (made payable to Community Living Hamilton)

Complete this form and return it to:

Community Living Hamilton
Cottage Rental Program
191 York Blvd
Hamilton, ON
L8R 1Y6

Or Fax to: 905-528-5156