UCHV Mobility-Impaired On-Site Driving Tour Booking Form

Mobility-Impaired On-Site Driving Tours Booking Form

The personal information collected through the Ukrainian Cultural Heritage Village website is for the purpose of submitting a program request and for communication about your booking. This collection is authorized by subsection 33(c) of the Freedom of Information and Protection of Privacy Act. For questions about the collection of personal information, contact the Director at 780-662-3855 Ext. 1102, by email at UCHV@gov.ab.ca or mail to Director, Ukrainian Cultural Heritage Village, c/o 8820 – 112 Street, Edmonton, AB, T6G 2P8.

Please read through the following information carefully.

For more information on our mobility-impaired tours, please visit our special mobility-impaired on-site driving tours page.

This is not a confirmation of your booking. We will contact you to finalize your visit details.

Instructions on form submission:

The booking form contains fields with an asterisk, which must be filled in to successfully submit your request. After you submit your request, you will receive an email containing a summary of your submission. If you do not receive this email, or the page does not submit your request after pressing the submit button, please check that all fields with an asterisk have been filled in.

Please allow up to two business days for us to process your online booking form. If you do not receive a response from us within two days, please email us at UCHVBookings@gov.ab.ca to ensure your inquiry was received.

Contact

First Name*

Last Name*

Email*

Confirm email

Organization

Organization Name*

Phone Number*

Extension

Mailing Address*

City*

Postal Code*

Province/Territory*

General Organization Email Address

Group Details

Please enter the number of individuals in each category. This will allow us to process your request and transaction correctly for your booked visit. A final tally of each category will be taken upon arrival at the Ukrainian Village to ensure the amount charged is the amount onsite.

Number of Participants Ages 18-64*

Number of Participants Ages 65 and up*

Number of Staff Assisting Participants*

Estimated Number of Wheelchairs

Visit Details

Please select all dates/times that may work for your group below. If you have an order of preference, please indicate this in the "date/time preferences" field below and we will do our best to accommodate.

Tour Time*

No preference

11:00 am - 12:30 pm

Lunch: 12:30 pm (if attending)

1:00 - 2:30 pm

Lunch: 12:00 pm (if attending)

Time/Date Preferences

Are there any special needs or considerations for your visit?

Are you interested in food services for lunch?*

A cell phone number for a group leader, present with the group at the Ukrainian Village on the booked date is required.

Group Leader Cell Number*

Payment

Payment is accepted upon arrival at the Ukrainian Cultural Heritage Village.

If paying with:

Cheque - no personal cheques are accepted
Email Payment - Email address for payment coordinator is required

Method of Payment for Visit*

Payment Coordinator Email Address*

Would you like to receive information on future mobility-impaired group booking programming opportunities at the Ukrainian Cultural Heritage Village?*

Thank you for your interest!

We will contact you to finalize your visit details!

I agree to the terms of service.*

Personal Information Collection

The personal information collected through this online booking form is collected for the purpose of submitting a program request and for communication about your program booking. This personal information collection is authorized by section 33(c) of the Freedom of Information and Protection of Privacy Act. Questions about the collection and use of this information can be directed to UCHVBookings@gov.ab.ca.