ParaSport Ontario > Community Development > Ready Willing and Able > Request a Session Form

ParaSportOntario.ca

ParaSportOntario.ca

ParaSportOntario.ca

ParaSportOntario.ca

ParaSportOntario.ca

ParaSportOntario.ca

ParaSportOntario.ca

ParaSportOntario.ca

ParaSportOntario.ca

ParaSportOntario.ca

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Community Development » Ready Willing and Able » Request a Session Form

Request a Session Form

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Click Link for PDF Version of "Request a Session" form, or fill out the web-based form below.

PDF Version of RWA "Request a Sesion" Form

Host Details

Host Organization:*

Street Address:*

City:*

Province:*

Postal Code:*

Phone:*

Fax:

Primary Contact:*

Primary Contact Position:*

Primary Contact Phone:*

Primary Contact Email:

Program Request

Date:*

Start Time:

End Time:

Location (if different from Host):

Street Address (if different):

City (if different):

Province (if different):

Postal Code (if different):

Estimated # of Participants:*

# of Participants with a Physical Disability:*

Program Sport(s) Offered (Select 1 or More)

Sport 1:*

Sport 2:

Sport 3:

Sport 4:

Additional Onsite Information

Space Available (e.g. gym or classroom etc.):*

GymClassroom

Outlet Available:*

YesNo

AV Equipment Available:*

YesNo

Specify AV Equipment:

Additional Information

Preferred contact method:

EmailPhone

How did you learn about the program:

Comments:

School Presentation Fee:*

$200 ½ Day Session$400 Full Day SessionWaived Fee (if people with a disabiltiy attend session)

Security Code:

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