Field Trip Form - Telus World of Science

On-Line Registration Form

Please make sure to review our Field Trip Policies section.

* indicates required

Contact Information:

*	Name:
*	School Name:
*	School Division:
*	Address:
*	City:
*	Province:
*	Postal Code:
*	Telephone (with area code):
*	Fax:
*	Email:

Class Information:
* Please note that we require 1 chaperone/teacher per 5 students for Pre-School – Grade 3 and 1 chaperone/teacher per 10 students for Grade 4-12

Grade:	# of Students:	# of Teachers & Chaperones:
Grade:	# of Students:	# of Teachers & Chaperones:
Grade:	# of Students:	# of Teachers & Chaperones:
Total # in Group (Students, Teachers & Chaperones):

Plan your visit:
Enter the selections into the table below.
A 45-minute to a one hour program would be slotted into one 'time session' any program over an hour would take up two of the 'time sessions'.

Date:	/ /
Alternate Date:	/ /

Start Time	Program/Show

Please indicate if you are purchasing your lunch or are interested in booking one of our lunchrooms.
Lunch room booking (Free of charge. First booked, first served)

Lunch room booking Time:	11:00 am	11:30 am	12 noon	12:30 pm	1:00 pm	1:30 pm	2:00 pm
Please check time

Cafe Lunch pre-purchased required. Download lunch form
Please call cafe at 780-452-9100.

Cafe Lunch:

YesNo

Comments, Questions or Suggestions:

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To avoid booking errors, please verify your choices before submitting your registration form.

We will contact you within 48 hours to confirm your booking. Upon confirmation we require $50 non-refundable deposit. Please make cheques payable to Edmonton Space & Science Foundation.

Thank you for using our on-line registration form!