To: Program Reservation

From:_______________________________________________________
Phone:______________________________________________________
Date Sent:___________________________________________________

Fax To: 905-827-8706
Bronte Creek's Phone: 905-827-6911 ext 228

Please PRINT clearly ---all fields must be completed. Booking is not complete until confirmed by park. Confirmation packages will be sent via e-mail.

Name of School:____________________________________________________
Address of School:__________________________________________________
City:__________________________________, Ontario
Postal Code:_______________Daytime phone number:(______)_____________
Email (required):___________________________________________________
Contact Name:______________________________________________________
Grade Level:_________________________

Program: Each grade has a specific program focus, please circle the importance of each for your trip.

1. Heritage:

1st choice

2nd choice

3rd choice

2. Nature/ environment:

1st choice

2nd choice

3rd choice

3. Playbarn

1st choice

2nd choice

3rd choice

Total number of Students:_________________________________ (max or 30 per time slot). 3 classes per school per day will allow all groups to enjoy the 3 program areas.

Date Preferred:_____________________ 2nd choice:________________________
Earliest Arrival Time:_______________ Latest Departure Time:________________
Comments: