BOOKING FORM Young Worker Awareness Program
Please complete this form in its entirety as the information requested is of great need, especially the extension number. Presentations are booked on a first come, first served basis. Please get your form in as soon as possible to ensure a date that’s most convenient to you! Thank you for your cooperation.
Name of School:
Address:	,
School Phone/Fax:
Teacher Liaison:
Liaison Phone/Ext/Fax:	Ext:
Liaison Email:
Do you require a French presentation?Yes No
How many presentations do you require?
Please provide the following for each presentation: Date Start Time # of Students **In the event the above day(s) are unavailable, please provide an alternative date**
Preferred Presenter (optional):

If you have any questions or would like further information,
please contact Tina MacPherson.
Phone: (416) 441-4868, extension #2296
Toll Free: 1-888-869-7950, extension 3092
E-mail: tina@whsc.on.ca
Fax: (416) 441-0399