Campus Visit Program

Group Visit Registration

* Required Field

Organizer Information

*
Organizer First Name:
This field is required
*
Organizer Last Name:
This field is required
*
Email Address:
This field is required
*
Re-Enter Email Address:
This field must be the same as the e-mail above
*
Phone Number (e.g. 780-123-4567):
This field is required
*
Cell Phone Number (e.g. 780-123-4567):
This field is required

Visit Information

*
School/Group Name:
This field is required
*
City/Town:
This field is required
*
Group's current grade or level of education:
This field is required
*
Specify:
*
Size of Group (Students and Chaperones):
This field is required
*
I would like to visit on:
This field is required
*
I would prefer my visit to occur in the:
This field is required
*
Specify:
*
Mode of Transportation:
This field is required
*
Specify:
*
Please indicate the size of bus:
*
Specify:
*
Number of buses:
Do you require parking on campus?
*
I would like our Campus Visit to include the following (please check all that apply):
A selection is required
*
I would like an Aboriginal focus to our visit to learn about services, support and opportunities for Aboriginal students:
A selection is required
I would like to share the following information to help personalize our visit:

Chaperone Information

*
Chaperone First Name:
This field is required
*
Chaperone Last Name:
This field is required
*
Chaperone Cell Phone Number (e.g. 780-123-4567):
This field is required