Fanshawe Community Education Booking Request
Thank you for your interest in our education programs. Please complete the form below. Once you submit the form, we will contact you within 2 working days. If your choices of date cannot be accomodated, we will work with you to find an alternative suitable date. Thank you
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Email *
Name *
School *
Phone Number *
Phone Number on Day of Field Trip
Grade(s) *
Number of Students and Number of Classes *
Do you have any special needs, or require specific accommodations?  If yes, please specify *
Length of Program.  For a full day program, please select 2 Programs for students to participate in. *
Required
Primary Programs
Primary Programs - Second Choice
Junior Programs
Junior Programs - Second Choice
Intermediate Programs
Intermediate Programs - Second Choice
High School Programs
High School Programs- Second Choice
Preferred Date- First Choice *
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DD
/
YYYY
Preferred Date- Second Choice *
MM
/
DD
/
YYYY
Additional Comments or Questions
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