On-line form | Montreal Hooked on School
Online form - Hooked on School Days 2019

ACTIVITY REGISTRATION FORM • • •

Not available at this time

Online form — Hooked on School Days 2019

Fill out the form to register your activity and order ribbons.

Use this form to register an activity on the Hooked on School Days calendar and order materials, including the green-and-white perseverance ribbon. If you don’t wish to do both, complete only the relevant fields.

All fields outlined in red are required.

Please note that Montreal Hooked on School cannot guarantee that your activity will appear on the calendar or that your order will be processed if the relevant section of the form is not completely filled out.

ACTIVITY REGISTRATION FORM • • •

Information about your organization

Name of organizing party

Contact information of organizing party

Contact person

Montreal Hooked on School will contact the person listed below for all matters related to the registered activity.

Type of organization *

If you select "Teaching establishment", be sure to include the school board (if applicable)
Private teaching establishment
Public teaching establishment
School Board

Education
Business
Culture and communications
Healthcare
Social and community services
Sports and leisure
Joint action
Early childhood
Public services
Other

Our organization has previously taken part in HSD
HSD media campaign
Our organization attended a presentation on HSD at a meeting
Other:

2018
2017
2016
2015
2014
2013
2012
2011

 

INFORMATION ABOUT ACTIVITY • • •

* Fields marked with an asterisk will be displayed in the Hooked on School Days calendar. Please review this information carefully.

By registering an activity in the calendar, your organization could receive a grant to purchase books. Only fully completed forms are eligible.
Would you like to participate? Yes No


Activity 1

Activity 2

Activity 3

Activity 4

Activity 5

 

ORDER FORM FOR MATERIALS • • •

If you order items, they will be delivered to the address below:

To arrange delivery to a different address
please contact Montreal Hooked on School:
514 286-2346, ext. 0 info@reseaureussitemontreal.ca

Material

Ribbons

Limited quantities.
Please note that ribbons can be ordered while quantities last or until February 1st, 2019, whichever comes first.
Mounted ribbon with description – French
$0.50 *
Mounted ribbon with description – English
$0.50 *
Ribbon
$0.30 *
Total cost (not including taxes):
$ *
* Applicable taxes will be added at the time of billing.

Free posters (maximum 4 per organization)

"Journées de la persévérance scolaire" poster
Hooked on School Days poster
Total

 

SENDING THE FORM • • •

We suggest you print this page for your records.



To make changes in the information entered into this form,
please contact Montreal Hooked on School: 514 286-2346, ext. 0 info@reseaureussitemontreal.ca

test