Electronic Application for Anapauo House

Field Address
Home Address
Postal/Zip Code
Home Phone Number
Alternate Phone Number
Group, Church or Mission Name
Reservation Dates Requested
Alternative Days if any
Estimated Time of Arrival if known
Number in Party
How Do You Prefer To Be Contacted?
How Did You Hear About Us?
Additional Information You Wish to Share
Image Verification
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**After submitting your application, please forward your FULLY REFUNDABLE deposit cheque (details on Application Page) of $100 CAN, made out to 'Coleman Christian Assembly', post-dated for 1 week before your stay to:  Anapauo House, Box 783, Coleman, AB, Canada, T0K 0M0  Thank-you!

Disclaimer: Coleman Christian Assembly shall not be liable for any property damage, loss or personal injury arising out of occupancy of the facility. Should any such liability occur, the above persons will indemnify Coleman Christian Assembly. When this application form is submitted electronically, this implies your consent to the above waiver and etiquette rules listed on the website.

 You can click here for our print out application.