Contact Information

* Full Name / Contact Person

* Community / School Name

* E-mail Address

* Phone Number

Visit Details

* Preferred Date

* Preferred Time Slot

Morning

Afternoon

Full Day

* Location Address

* Estimated Number of Participants

* Age Group / Grade Level of Participants

Ages 16 - 17 (Grade 11)

Ages 17 - 18 (Grade 12)

Ages 18 - 35 (Post-Secondary/Adult)

Logistics & Accessibility

* Is there a flat, accessible parking space available on site that can accommodate our 38-foot long, 14 feet wide trailer?

Yes

No (The location does not have the appropriate space)

* Is there a dedicated 240V, 30-amp electrical outlet available on site that the mobile unit can connect to?

Yes (Outlet available)

No (The mobile unit will need to use its onboard generator)

* Is there a process to follow to get pre-approval to park the mobile unit onsite?

Yes

No

If yes, please provide details on the process or contact information:

Request a Visit