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Workshop
Booking for Poetry and Memory: Writing Poems with your Past
"
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Contact Information
1. Contact Person
Contact Name
*
Contact Title
*
Phone Number
*
Email Address
*
Billing contact
Billing is the same as contact information
Same as contact information
Contact Name
*
Contact Title
*
Phone Number
*
Email Address
*
Contact during activity
Activity is the same as contact information
Same as contact information
Contact Name
*
Contact Title
*
Phone Number
*
Email Address
*
School / Organization Information
Is it a school booking or a community booking?
*
School booking
Community booking
Name of School / Organization
*
Phone
*
Address
*
Street Address
Address Line 2
City
Province
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Postal Code
School Board (If you are booking for a school)
Algoma District School Board
Algonquin and Lakeshore Catholic District School Board
Avon Maitland District School Board
Bloorview School Authority
Bluewater District School Board
Brant Haldimand Norfolk Catholic District School Board
Bruce-Grey Catholic District School Board
CHEO School Authority
Campbell Children's School Authority
Catholic District School Board of Eastern Ontario
Conseil des écoles publiques de l'Est de l'Ontario
Conseil scolaire Viamonde
Conseil scolaire catholique MonAvenir
Conseil scolaire catholique Providence
Conseil scolaire de district catholique Franco-Nord
Conseil scolaire de district catholique de l'Est ontarien
Conseil scolaire de district catholique des Aurores boréales
Conseil scolaire de district catholique des Grandes Rivières
Conseil scolaire de district catholique du Centre-Est de l'Ontario
Conseil scolaire de district catholique du Nouvel-Ontario
Conseil scolaire de district du Nord-Est de l'Ontario
Conseil scolaire public du Grand Nord de l'Ontario
Consortium Centre Jules-Léger
District School Board Ontario North East
District School Board of Niagara
Dufferin-Peel Catholic District School Board
Durham Catholic District School Board
Durham District School Board
Grand Erie District School Board
Greater Essex County District School Board
Halton Catholic District School Board
Halton District School Board
Hamilton-Wentworth Catholic District School Board
Hamilton-Wentworth District School Board
Hastings & Prince Edward District School Board
Huron Perth Catholic District School Board
Huron-Superior Catholic District School Board
James Bay Lowlands Secondary School Board
John McGivney Children's Centre School Authority
Kawartha Pine Ridge District School Board
Keewatin-Patricia District School Board
Kenora Catholic District School Board
KidsAbility Education Authority
Lakehead District School Board
Lambton Kent District School Board
Limestone District School Board
London District Catholic School Board
Moose Factory Island District School Area Board
Moosonee District School Area Board
Near North District School Board
Niagara Catholic District School Board
Niagara Peninsula Children's Centre School Authority
Nipissing-Parry Sound Catholic District School Board
Northeastern Catholic District School Board
Northwest Catholic District School Board
Ottawa Catholic School Board
Ottawa-Carleton District School Board
Peel District School Board
Penetanguishene Protestant Separate School Board
Peterborough Victoria Northumberland and Clarington Catholic District School Board
Provincial and Demonstration Schools
Rainbow District School Board
Rainy River District School Board
Renfrew County Catholic District School Board
Renfrew County District School Board
Simcoe County District School Board
Simcoe Muskoka Catholic District School Board
St Clair Catholic District School Board
Sudbury Catholic District School Board
Superior North Catholic District School Board
Superior-Greenstone District School Board
Thames Valley District School Board
Thunder Bay Catholic District School Board
Toronto Catholic District School Board
Toronto District School Board
Trillium Lakelands District School Board
Upper Canada District School Board
Upper Grand District School Board
Waterloo Catholic District School Board
Waterloo Region District School Board
Wellington Catholic District School Board
Windsor-Essex Catholic District School Board
York Catholic District School Board
York Region District School Board
Community (community centres, museums, libraries, festivals)
Private School
Other
Other School Board
Program Information
If you have picked a virtual program
Pick a medium
Zoom
Microsoft Teams
Google Meet
YouTube
Other
Age
*
Pick the age group you are booking for
Children ages 12 - 18
Grade 10
Grade 11
Grade 12
Grade 5
Grade 6
Grade 7
Grade 8
Grade 9
Language
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Pick a language
English
Number of participants
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Please enter a number from
1
to
1000
.
Please provide your preferred dates and times
*
We will be in touch if the artists are not available for those dates and times and propose new options.
Date
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Time
Hours
:
Minutes
AM
PM
AM/PM
Time
Hours
:
Minutes
AM
PM
AM/PM
Date
MM slash DD slash YYYY
Time
Hours
:
Minutes
AM
PM
AM/PM
Time
Hours
:
Minutes
AM
PM
AM/PM
Date
MM slash DD slash YYYY
Time
Hours
:
Minutes
AM
PM
AM/PM
Time
Hours
:
Minutes
AM
PM
AM/PM
Additional Information
We'd love to know the reason you are reserving this artists!
Connects to the curriculum
Raises cultural awareness
Learn about an art form
Brings diversity
Engage participants
Explore social/global/environmental issues
Celebrate a Date of Significance (eg Poetry Month; Black Legacy Month)
French Second Language
Experiential Learning/SST
STEAM
Literacy
Other
Does your school/venue require financial assistance for this event if it were available?
*
Yes
No
Which type of financial assistance would your school/venue like to apply for? Please select from the available options:
*
Assistance financière MASC Financial Assistance
Arts Incentive (OCSB internal funding)
ArtistsInspire (English schools inside Quebec)
ImmersART (English schools offering French Immersion)
FSL Enriched Learning (OCSB Internal Funding)
How did you hear about us?
*
Facebook
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School Board
MASC Artist
MASC Board Member
Teacher / Colleague
Community Partner / Colleague
Volunteer
Student / Participant
NAC
Funder
Anything else you'd like to tell us?
