On-line form | Montreal Hooked on School
Online form - Hooked on School Days 2021

ACTIVITY REGISTRATION FORM • • •

Not available at this time

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.

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/school service centres (if applicable)
Private teaching establishment
Public teaching establishment
School board/School Service Centres

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:

2020
2019
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

Please note that material can be ordered while quantities last or until February 5, 2021, whichever comes first.

Material

Ribbons

Ribbon
0,30 $*
Total cost (not including taxes):
$ *
* Applicable taxes will be added at the time of billing.

Free posters (maximum 2 per organization)

General Poster - French

General Poster - English

out of stock
Total amount of posters (maximum 2 per organization)

 

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

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