Distance LearningDistance Learning Form

Thank you for your interest in our Distance Learning Programs. Please complete the following form as thoroughly as possible.

Booking Information

Toll free in North America (outside Alberta)
1-888-440-4240

Toll free in Alberta
310-0000 then (403) 823-7707

Outside North America
1-403-823-7707

Email
tyrrell.bookings@gov.ab.ca

Mail:
Bookings Department
Royal Tyrrell Museum
P.O. Box 7500
Drumheller, Alberta,
Canada T0J 0Y0

Please Note: If you are booking multiple programs, please submit one form for each program! After submitting, you will have the option to re-use the information you previously entered.

All fields marked with * are required.

Contact Information

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Contact First Name:

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Contact Last Name:

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Contact Email:

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Contact Phone:

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Contact Fax:

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Contact School/Organization:

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On weekdays, when is it best to contact you?

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How did you hear about our Distance Learning programs?

Event Related Information

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School/Organization:

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Teacher First Name:

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Teacher Last Name:

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Teacher Email:

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School/Organization Contact Phone:

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School/Organization Contact Fax:

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Address 1:

Address 2:

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City:

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Province/State:

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Country:

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Postal/Zip Code:

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Time Zone:

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Which program are you interested in?

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Grade/Age Level:

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Number of Participants:

To accommodate class scheduling our programs are booked in a time slot fashion. Your program may start at any time within the selected time slot. Once you have selected your time block please ensure you select a start time. All program times are in Mountain Time.

Please Note: A minimum of 7 days advance notice is required for all bookings.

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First Preferred:

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Time:

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Second Preferred:

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Time:

Third Preferred:

Time:

What type of setting will the event be held in?

Has your group participated in a video conference before?

Comments or Questions?

Technical Contact Information

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Contact Name:

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Contact Email:

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Phone Number:

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Cell Number:

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Certificate or Coupon #

Please Note: All Royal Tyrrell Museum Distance Learning coupons and certificates have 4 or 5 digits, numerals only. If this does not match what you have on hand, please contact the individual or organization that issued the coupon or certificate.

Certificate or Coupon #:

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Distance LearningDistance Learning Form

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