Request form for a group activity

ABORIGINAL TECHNOLOGIES
Request form for a group activity

Please fill one form per activity
Directions
Name of organization *
Person in charge *

Surname Name
Address *

Address

Street

City State / Province

Postal code Country
Phone *

Regional code Phone number
Email *
Activity
Program for schools
Program for adults
Program for events
Program for museums
Program for libraries
Program for day camps
Video-conference

Virtual version on a web platform
Date of the activity

Select 3 choices in order of preference
1st choice *

Month Day Year Hour Minutes AM/PM Option
2nd choice

Month Day Year Hour Minutes AM/PM Option
3rd choice

Month Day Year Hour Minutes AM/PM Option
Group description
Number of participants (max 30 / group) *
Number of groups *
Type of public *
Level or age *
Language *
More information
IMPORTANT! This form is not a reservation, only a request that we will confirm after checking availabilities. Thank you!
Should be Empty:

ABORIGINAL TECHNOLOGIES