Program Booking Form

Program Booking Form

You will be contacted within 3 business days after submitting your inquiry.

You are welcome to contact Molly Hamilton directly at 403-242-8849 (Calgary) or 250-900-0540 (Victoria) or by email: info@makeawonderfulday.com

Thank you for your interest.

Name*
First Last
Company/Organization*
Address*
Street Address Address Line 2 City Province Postal Code
Email*
Enter Email Confirm Email
Phone*
Contact Preference*
- Phone
- Email
Contact Time*
- Morning
- Afternoon
- Evening
Website
How did you hear about our programs?
Event Date
MM slash DD slash YYYY
Event Time

: Hours

Minutes
Event Location
Event Type
Number of Participants
Presenter Budget
What are your goals for the event
Audience Demographics

Enter % of Male & Female Participants
Age Range Percentage (0-12 years)
Age Range Percentage (13-17 years)
Age Range Percentage (18-30 years)
Age Range Percentage (31-45 years)
Age Range Percentage (46-60 years)
Age Range Percentage (61+ years)
CAPTCHA
Comments
This field is for validation purposes and should be left unchanged.