Classic Spa Stay Inquiries

To schedule a stay at the Copperhood Retreat & Spa or to request further information, please fill out and submit the form below. Once we receive your request we will endeavor to answer all of your questions and arrange for the luxurious accommodations and spa treatments you expect from the Copperhood. Our team will strive to pamper you and meet your every need.

Guest Information

(as on credit card)
Home Phone: Cell Phone:
Work Phone: Fax:
Billing Address:
City:      State:      Zip:  
E-Mail Address:
Arrival Date:      Departure Date:  
Room Preferences
King 2 Bedroom Duplex w/Balcony & Jacuzzi
Queen Grand Suite w/Balcony & Jacuzzi
Double Beds Premium King w/Jacuzzi
2 Bedroom Suite w/Balcony & Jacuzzi Living Room (only w/suites)
Needs & Requests
Please Check The Focus(s) For Your Retreat Visit
Idleness, Pampering & Spa Treatments Break Addictive Behaviors
Detoxing Weight Loss
Fitness Restoration Break Bad Habits
Pancha Karma    
Number Of People In Your Party:  
Special Diets, Food Allergies & Food Dislikes:
Personal Goals You Want To Set For Your Getaway:
Any Special Requests or Needs You May Have:
Please Check The Activities You Are Interested In:
Tennis Fishing Downhill Skiing
Hiking Culinary X-Country Skiing
Biking Weight Room Horseback Riding*
Exercise Room Yoga Golf*
Meditation     *nearby
Your Health
Describe Your General Health:
Any Chronic Conditions:
If you are currently under a Doctors specialized care, pleas provide his name and contact information:
Age:      Height:      Weight:  
May We Ask?
How Did You Find Us?
Was there information you needed that out web site did nor provide or do you have any other special needs or requests:
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