Choose an available date from the calendar below. We will contact you for booking the second visit (about two weeks after the first visit). If there are no dates that work with your schedule, please email matthew.walmsley@greenup.on.ca to arrange for an alternate date, if available. Your selection will be held as “pending” until it is confirmed. You will receive an email that summarizes your reservation request. You will also receive a confirmation email from us as soon as possible. If your reservation is confirmed we will also send you more information on how to prepare for the program visit.

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- Available

- Unavailable

- Pending

Please fill in the following fields to complete your program request.

Contact Information

Select Your School (if not listed, select other)*:

If other, please write in school name:

School Board*:

If other, please write in school board name:

Lead Teacher First Name*:

Lead Teacher Last Name*:

Contact Phone Number*:

Contact Email*:

School Phone Number*:

School Start Time*:

Book with a Buddy! Spread the WOW around! Book us to visit your entire instructional team, division or school! Ideally we will have 2 or 4 classes booked per day in order to make best use of our instructors.

How many classes would you like to book?:

Block 1, Class 1

Block 1, Class 1 Grade*:

For split Grades, please select the grade with the majority of students and indicate the other grade in the notes section of this form.

Block 1 Class 1 Total Number of Students*:

Block 1 Class 1 Teacher Name*:

Block 1 Class 1 Teacher email*:

To ensure our educators can meet the needs of your students to the best of our abilities please share any special needs, accommodations or comments that might be helpful.

Special needs / Accommodations / Comments?:

How did you find out about our programs?:

If other, please let us know:

Please Send me more information about future Education Programs at GreenUp
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