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Required fields are marked with asterisks (*)

School Visit Booking Form

Thank you for your interest in the City of Waterloo Museum's school programs.

Please complete the following information to book your class.

Teacher name (first, last)

School name

School address (street, city)

Email address

Grade level

Number of students expected to attend

Virtual, On Location or In Person

In Person (visit the current exhibit)

In Classroom visit (JK/SK, Grade 1, Grade 10 only)

In Classroom virtual (JK/SK, Grade 1, Grade 10 only)

On Location (walking tour at Mount Hope Cemetery)

Preferred time

AM (between 9:30-11:30 a.m.)

PM (between 1:30-3:30 p.m.)

Other

Select your preferred month

September

January

April

October

February

May

November

March

June

December

Preferred day(s) - Monday to Friday

How would you like to pay?

Credit card

Invoice

No preference

Notes for the presenter: Any special needs for this class, other comments?

City of Waterloo
100 Regina Street South
PO Box 337, Station Waterloo
Waterloo, ON Canada N2J 4A8

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