Ferme Proulx Farm
Please complete our online form to book a group event. Phone: 613 833-2417 Email: info@proulxfarm.com
Name*:
Group Name*:
Coordinator on Day of Visit*:
Email*:
Telephone*
Other Telephone:
Indicate Group: School / Day care Centre / Day Camp / Scout visitHome Day care / Home SchoolBirthday - Children/AdultTeam Building / Office PartyCorporate Picnic
Language: EnglishBilingualFrench ImmersionWith translator
Special Requirements: No. of wheelchairs accompanying the group:
Describe other special needs / assistance required:
Desired Date*:
Other Possible Dates:
Arrival Time at Farm*:
Departure Time*:
Desired Meal Time:
Room/Hall required (extra fee may apply): YesNo
PrivateSemi-privateOpen
If Yes:
Start time:
End time:
Note 1: Your requested time may be change without prior notice
Children
0-17 months
18-36 months
37 months-11 years
Adults:
Teachers / Staffs / Coordinators: Adults / Parents / Volunteers:
Payment Method (A deposit may be required at time of reservation): [radio* payment "Cash" "Cheque (no personal cheques accepted)" "Interac" "VISA / MC"] NOTE 1: VISA / MC (accepted with a +3% extra) NOTE 2: An agreement/invoice will be sent on approved orders only
The agreement/invoice is to be sent by:EmailNot Required
Comments or additional information: