Book your YU day trip

This form is to request a Youth University Day Program (leadership, science, technology or robotics). If you're looking to request a PALS trip, please email youthuniversity@brocku.ca

Section 1: Contact information
Name * Required
First Last
Email * Required
School * Required
Address * Required
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone * Required
How did you hear about us?
Section 2: Booking information
Please tell us about the type of program and who will be attending.
Program Stream (Day Trip)
- Leadership/Community Building ($33.00 / student)
- Technology ($33.00 / student) (Max 60 students)
- Science ($33.00 / student) (May and June only)
Number of participants * Required
Grade * Required
Arrival time * Required

Typical day runs from 9:00 to 2:30. Schedule is flexible to accommodate your bus and school schedule.
Departure time * Required
Preferred Date * Required

Please type in preferred trip date preference. Add a few date options
What benefits do you hope your students take away from this trip?
- Celebrating the year end
- Building skills for teamwork, resilience, and confidence
- Building skills for inquiry, problem solving, and thinking
- Exposure to post-secondary environment and mentors
- Exposure to interesting subjects and careers
Would you like a campus tour during your trip?

Let us know if you'd like us to include a 20-30 minute tour of the Brock campus during your day trip! For technology trips, let us know if you're interested in a tour of the Brock Makerspace as well (tours subject to availability).
Other comments?
Comments
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