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! Bang! Boom!
Choose only one.
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 and submit within 24 hours of your application request to ensure their spot is held.

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 on date of your visit
- Invoice (issued after visit date)
- 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