Newcastle Island Program Registration

Please fill out the form below and we will be in-touch with you shortly!

**Note: online program registration is a program request, not a final program booking. Please wait until we contact you before you finalize your plans.  You will be contacted within 1-2 business days following submission to confirm the date and time of your program.

Name: (*)

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School:

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Phone: (*)

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Fax:

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Email:

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Grade:

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Number of students:

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Program:

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Dates/Times Preferred: (Available times for programs are: 9:30am, 11:00am, and 1:00pm. Please indicate if you have a time preference)

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Dates Unavailable:

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Questions or Comments:

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