Lougheed House School program booking form Please select what applies to you: * I am using the 2005 Social Studies Curriculum I am piloting the draft Social Studies curriculum Grade Level(s): * 1 2 3 4 5 6 1 & 2 3 & 4 5 & 6 Other Please select your first program: * Coming Home to Lougheed House Connecting Our Communities Crafting Our Stories Please select your second program: * Coming Home to Lougheed House Connecting Our Communities Crafting Our Stories N/A I am only booking a half day (single program) Name of main contact * First Name Last Name Contact Email * Phone * (###) ### #### Name of alternate contact First Name Last Name Alternate Contact Email * School Name * Mailing Address * Address 1 Address 2 City State/Province Zip/Postal Code Country First Choice Date * Note: we do not have school programs on Fridays MM DD YYYY Second Choice Date * Note: we do not have school programs on Fridays MM DD YYYY Time Slot: * Morning only (10:00 AM - 12:00 PM) Afternoon only (12:30 PM - 2:30 PM) Full day (10:00 AM - 2:00 PM) Number of Groups * 1 2 Number of Total Students * Maximum 60 Number of Teachers * Number of Chaperones * Recommended ratio of 1:5 How did you hear about us? * Google Search Social Media Recommendation Walked By Other Teacher's Convention Comments: Thank you for your inquiry!
