Discovery Visit Form

Organization/School*
Type of Organization*
Teacher/Educator*
First Name Last Name
Email*
Phone*
Mailing Address*
Street Address Address Line 2 City Province Postal Code
Program
- Construction/Destruction
- Discovery North
- A Promise is a Promise
- Rock On
- Colour Blast
- Hello Body
- Simple Machines
- Clang! Clang! Boom!
Are you planning to attend with another class?*
- Yes
- No
If yes, please list the other teacher's name, grade, and school.
Note: The other class will be required to fill out their own application.

Are you responding to an Access Program invitation?*
- Yes
- No
If you are not responding to an Access Visit invitation what would your preferred method of payment be?*
- Pay upon arrival at the museum
- Invoice
- I am responding to an Access Visit
Time of Visit*
- 9:45am - 11:45am
- 12:30pm - 2:30pm
Please provide your top 3 date preferences

Please Note:
Programs are only offered on Tuesday through Friday
Preferred Date*
Date Format: MM slash DD slash YYYY
Alternative Date*
Date Format: MM slash DD slash YYYY
Alternative Date 2*
Date Format: MM slash DD slash YYYY