School or Group Name (required)

Date Requested (required)

Time Requested (required)

Age Range of Participants (required)

Number of Participants Attending (required)

Location Options (required)
Boulderz- Etobicoke 80 The East Mall EtobicokeBoulderz- Junction 1444 Dupont Street Toronto (max. 20 participants)

Additional Comments

Organizer's First & Last Name (required)

Organizer's Phone Number (required)

Organizer's Email Address (required)