General Information Request Form
School/Company/Organization: *
Full Address: (Street name)
City:
Province/State:
Postal/Zip code:
Country:
School phone number:
School fax number:
Contact Name: *
Position:
Contact Phone number: *
E-mail address:
 
 
Departure date:
Returning date:
No. of days:
No. of nights:
Total no. of students:
Total no. of adults:
Age of students:
Grade level:
No. of adults to be free:
Lodging
Yes No 

Number of students per room: 
Number of adults per room: 

Transportation
Yes No 

Type of bus
Coach Activity Bus School Bus 

Plane tickets
Yes No 

Train tickets
Yes No

 MPO Guide needed?
Yes No 
Day Night 

Meals
Yes No 
Number of:: 
 
Bkfst Lunch Supper

Additional information:


  
City to visit
 
Ottawa Toronto
Niagara Falls Québec
Montréal New York
Boston Other
Specify other city: 
#1 
#2 
If unsure of which activities to do, please choose which subjects you would be interested in. 
Educational Activities:
Art (Music, Painting, Band, etc.)
Science (Nature, Earth, Physical)
Cultural (Language, etc.)
Historical (Archeology, etc.)		 Recreational Activities:
Sports (Skiing, Hockey, etc.)
Shopping 
Amusement park 
Rafting, Canoeing
 

Date tentative itinerary is needed by: 
Approx. Budget (per student): $ CND US


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