Lougheed House School Program Bookings
Please select your first program:
*
Coming Home to Lougheed House
Connecting our Communities
Crafting Our Stories
Please select your second program:
*
Coming Home to Lougheed House
Connecting our Communites
Crafting Our Stories
N/A I am only booking for a half day (single program)
Name of Main Contact
*
First Name
Last Name
Contact Email
*
example@example.com
Contact Phone Number
*
Please enter a valid phone number.
Name of Alternate Contact
First Name
Last Name
Alternate Contact Email
example@example.com
School Name and Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
First Choice Date
*
-
Month
-
Day
Year
Date
Second Choice Date
*
-
Month
-
Day
Year
Date
Time Slot:
*
Morning only (10:00AM - 12:00PM)
Afternoon only (12:30PM - 2:30PM)
Full day (10:00AM - 2:00PM)
Grade Level(s)
*
Please enter the grade levels of the attending class(es)
Number of Groups
*
Please Select
1
2
Number of total Students
*
Maximum 60
Number of Teachers
*
Number of Chaperones
*
How did you hear about Lougheed House school programs?
*
Please Select
Referred by a friend or colleague
Previous school visit
Google search
Teacher's convention
School list
Other
Comments:
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