Lougheed House School Program Booking Form

Lougheed House School Program Booking Form

This form is intended for booking a single day field trip. For bookings across multiple days, please fill out a form for each day.
Please select what applies to you:*

I am using the 2005 Social Studies curriculumI am piloting the draft Social Studies curriculum
Grade Level(s)*
Please select the grade option of the attending class(es)
Please select your first program:*

Coming Home to Lougheed HouseConnecting Our CommunitiesCrafting Our Stories
Please select your second program:*

Coming Home to Lougheed HouseConnecting Our CommunitesCrafting Our StoriesN/A I am only booking for a half day (single program)
Name of Main Contact*

First NameLast Name
Contact Email*
example@example.com
Contact Phone Number*
Please enter a valid phone number.
Name of Alternate Contact

First NameLast Name
Alternate Contact Email
example@example.com
School Name*
School Name*
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
First Choice Date*

MonthDayYear
Second Choice Date*

MonthDayYear
Time Slot:*

Morning only (10:00AM - 12:00PM)Afternoon only (12:30PM - 2:30PM)Full day (10:00AM - 2:00PM)
Number of Groups*
Number of total Students*
Maximum 60
Number of Teachers*
Number of Chaperones*
Recommended ratio of 1:5
How did you hear about Lougheed House school programs?*
Comments:
Enter Promo Code Here:
I would like to opt out of email updates from Lougheed House:
Should be Empty: