2018/19 Education Program Request Form

2018/19 Education Program Request Form
Grade*
Kindergarten Program*
Grade 1 Program*
Second Grade 1 Program (If Booking Full Day)
Grade 2 Program*
Second Grade 2 Program (If Booking Full Day)
Grade 3 Program*
Second Grade 3 Program (If Booking Full Day)
Grade 4 Program*
Second Grade 4 Program (If Booking Full Day)
Grade 5 Program*
Second Grade 5 Program (If Booking Full Day)
Grade 6 Program*
Second Grade 6 Program (If Booking Full Day)
Grade 7 Program*
Second Grade 7 Program (If Booking Full Day)
Grade 8 Program*
Second Grade 8 Program (If Booking Full Day)
High School Program*
Second High School Program (If Booking Full Day)
Location*

EnniskillenHeber DownPurple WoodsLynde ShoresIn School
Number of Students (Max 60)*
Preferred Date for Program
Preferred Date*

MonthDayYear
If booking only one program, please select preferred time

AMPM
Backup Date for Program
Backup Date*

MonthDayYear
If booking only one program, please select preferred time

AMPM
Contact Information
Full Name*

First NameLast Name
School Name*
School Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Phone Number*
E-mail*
How would you like to be contacted to confirm your reservation?

EmailPhone
Maximum Parent Volunteer Ratio

K-Grade 3: 1 adult/4 students

Grade 4-8: 1 adult/8 students (unless program involves pond or stream)

*Note: Above is maximum parent volunteer ratio. Fewer than maximum parents are fine unless program involves the pond or stream.

Parents are complimentary unless they exceed the maximum ratio.

Payment

An invoice will be emailed to you. Please bring a cheque the day of the program or call the office (905-579-0411) to pay over the phone.
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2018/19 Education Program Request Form

Preferred Date for Program

Backup Date for Program

Contact Information