Request form for a group activity

Abotec
Request form for a group activity

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

SurnameName
Address*

Address

Street

CityState / Province

Postal codeCountry
Phone*

Regional codePhone 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*

MonthDayYearHourMinutesAM/PM Option
2nd choice

MonthDayYearHourMinutesAM/PM Option
3rd choice

MonthDayYearHourMinutesAM/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:

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