School Booking Request Form Please complete this fillable form and either mail, fax or email to: Karen Hartnett, Marydale Park Programmer. Fax: 905-528-9955 • Tel: 905 528-0011, ext. 3602 • Email: [email protected] Contact Information: School Name: Trip Date: Address: Phone #: Contact Person: Ext: E-mail: Yes Are you arranging bus transportation? Alternate Date: No Total Attendees: Children’s Ages: # of Adults: Departure Time: Arrival Time: Fall / Spring Activities: Archery Swimming Crafts Nature Hikes Peddle Boating Beach Volleyball Basketball Box Hockey Soccer Large Group Games Orienteering Canoeing/Kayaking Fishing Mud Kitchen Musicial Equipment Plant/Tree Study Survival Game Capture the Flag Parachute Parachute Animal Tracking Spider-web Native Studies ABC's Campfire Cross Country Skiing Snowshoeing Ice Skating Tobogganing Curling Broomball Lacrosse Hockey Outdoor Survival Animal Tracking Nature Hikes Orienteering Snow Ball Toss Native Studies Winter Activities: PLEASE NOTE: Cross Country Skiing – Equipment is available for students in grade 2 and younger. Snowshoeing – Equipment available for students in grade 5 and older. Ice Skating – Students to bring their own skates and helmets. Small sized skates may be available upon request. Please remind children to dress appropriately for the weather. Suggestions on what to bring will be included in your confirmation package. All Activities are dependent on the weather and are subject to change. Once your trip has been confirmed, you will receive a quote for your event, along with an official confirmation package. Thank you for choosing… EMAIL PRINT 5999 Chippewa Road, Mount Hope, ON L0R 1W0 • Tel: 905 528-0011 • Fax: 905 528-9955