Group Reservation Request Form

Group Reservation Request Form
What kind of visit do you wish to book?*
At which museum?*
No programs of this type available at the selected museum at this time. Please make another selection.
Program selection 1*
Program selection 1*
Program selection 1*
Program selection 1*
Program selection 1*
Program selection 1*
Program selection 1*
And/Or*
Program selection 2*
Program selection 2*
Program selection 2*
Program selection 2*
Program selection 2*
Program selection 2*
Program selection 2*
Language*
Language level*
Language level*
Grade level/Age range*
# of students*
# of accompanying adults*
# of youth (3-17 years old)*
# of students (18+ with valid ID)*
# of seniors (60+)*
# of adults*
Date of program/visit (first preference)*

YearMonthDay
Date of program/visit (first preference)*

YearMonthDay
Date of program/visit (first preference)*

YearMonthDay
Date of program/visit (alternate preference)*

YearMonthDay
Date of program/visit (alternate preference)*

YearMonthDay
Date of program/visit (alternate preference)*

YearMonthDay
Date of program/visit (first preference)*

YearMonthDay
Date of program/visit (alternate preference)*

YearMonthDay
Date of program/visit (first preference)*

YearMonthDay
Date of program/visit (alternate preference)*

YearMonthDay
Date of visit*

YearMonthDay
Desired arrival and departure time*

Hour Minutes

-
until
Hour Minutes
Desired program start time*

Hour Minutes

Group Information
Group name*
Group leader*
Group type*
Primary Email*
example@example.com
Secondary email
example@example.com
Email for invoice (if different from primary email)
Ingenium sends out invoices electronically. We will send the invoice to the primary email unless you indicate a separate email in this field.
Phone number*
Please enter a valid phone number.
Secondary phone number
Please enter a valid phone number.
Organisation/Group address (for billing)*

Street Address

Street Address Line 2

CityProvince

Postal CodeCountry
Method of payment*
Special considerations
Consent*

I agree to the following statement:
Ingenium’s reservation office responds to all reservation requests within 72 hours of receiving the request, whether the requested programs are available or not. I understand that emails don’t always make it to their destination. If I don’t receive a confirmation, I commit to informing Ingenium by email at contact@ingeniumcanada.org.
Both Emails - EN
Both Emails - FR
Should be Empty:

Group Information